Active NPI
Ian Douglas Dickey, M.D.
- Orthopaedic Surgery Physician
- Farmington, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 016401
- Practice address
- 181 Franklin Health CMNS
Farmington, ME 04938-6144 - Phone
- (207) 778-9001
- NPI assigned
- Jan 30, 2006
- Last updated
- Jun 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 294218 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 016401 | ME | Primary |
Addresses
Primary practice location
181 Franklin Health CMNS
Farmington, ME 04938-6144
Mailing address
4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 837-0072
Other practice location 1
1601 E 19th Ave Ste 3300
Denver, CO 80218-1239
Phone (303) 837-0072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28615522 | Medicaid | CO | |
| 431557599 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
111 Franklin CMNS
Farmington, ME 04938
Phone (207) 778-6031
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016401 | ME | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Orthopaedic Associates of Bangor, PA | Past | Accepting new patients |
Locations
181 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
181 Franklin Health Cmns
#3
Farmington, ME 04938
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- idickey563102@direct.mmc.mainehealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
-
dba St John Valley Pharmacy
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
-
- Specialist
- Bangor, ME
- NPI 1669525440
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Andwell Health Partners
- Home Health Agency
- Lewiston, ME
- NPI 1245232347
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1487625265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST STE 210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373487",
"telephone_number": "303-837-0072",
"fax_number": "303-837-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386144",
"telephone_number": "207-778-9001"
}
],
"practiceLocations": [
{
"address_1": "1601 E 19th Ave Ste 3300",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802181239",
"country_code": "US",
"telephone_number": "303-837-0072",
"fax_number": "303-837-0075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEY",
"first_name": "IAN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "294218",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "016401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28615522",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431557599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.