Matthew Jordan Dickson, M.D.

Key facts

NPI

1528021706

Entity type

Individual (NPI type 1)

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician 207YX0905X

License

244280 (NY)

Practice address

14 Hudson Avenue
Adirondack ENT
Glens Falls, NY 12801-4363

Phone

(518) 926-1380

Fax

(518) 926-1385

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glens Falls Hospital Inc. Family Medicine Physician · Glens Falls, NY · NPI 1336198217
  Medicare reassignment Care Compare group NPD NY · OTOLARYNGOLOGY/FACIAL PLASTIC SURGERY
• Glens Falls Hospital Inc Community/Retail Pharmacy · Glens Falls, NY · NPI 1336800135
  Care Compare group
• Glens Falls Hospital Inc General Acute Care Hospital · Glens Falls, NY · NPI 1871606764
  Care Compare group
• Glens Falls Hospital Inc Community/Retail Pharmacy · Glens Falls, NY · NPI 1619990991
  NPD
• New York Pain Management PLLC Pain Medicine (Anesthesiology) Physician · Clifton Park, NY · NPI 1407884455
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glens Falls Hospital Inc General Acute Care Hospital · Glens Falls, NY · NPI 1871606764
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Otolaryngology
Also: Plastic and Reconstructive Surgery

Education

Tufts University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Glens Falls Hospital Inc (175 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital · Glens Falls, NY · CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100 (apm)

Quality

71.44

Promoting interoperability

97.95

Improvement activities

40

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdickson97951@albanymed.direct-ci.com

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2024.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1528021706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUDSON AVENUE",
            "address_2": "ADIRONDACK ENT",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014363",
            "telephone_number": "518-926-1380",
            "fax_number": "518-926-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "MATTHEW",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "244280",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "57061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02897047",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.dickson@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "14 Hudson Avenue",
            "address_2": "Adirondack ENT",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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