Individual provider Active NPI

David M Dickman, M.D.

  • Ophthalmology Physician
  • Rolesville, NC
National Provider Identifier
1891717948
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200901699 Issued in NC
Practice address
310 S. Main Street
Rolesville, NC 27571
Phone
(919) 438-3937
Fax
(919) 435-6792
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA2508114400 NJ
Ophthalmology Physician 207W00000X 200901699 NC Primary

Addresses

Primary practice location

310 S. Main Street
Rolesville, NC 27571

Mailing address

310 S. Main Street
Rolesville, NC 27571
Phone (919) 438-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000893 NC Practitioner - Ophthalmology 5799889523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 S Main St
Rolesville, NC 27571-9661
Phone (919) 438-3937

Hospital & facility affiliations

  • North Carolina Specialty Hospital Hospital, Durham, NC, CCN 340049

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as individual
Quality
76.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200901699NCMDOphthalmology Physician
MA2508114400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Eye Center PA Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
New Century Ophthalmology Group, PLLC Ophthalmology PastSince Mar 9, 2020 Accepting new patients

Locations

310 S Main St
Rolesville, NC 27571
Phone (919) 438-3937

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1891717948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S. MAIN STREET",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "27571",
            "telephone_number": "919-438-3937",
            "fax_number": "919-435-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S. MAIN STREET",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "27571",
            "telephone_number": "919-438-3937",
            "fax_number": "919-435-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA2508114400",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200901699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

Verify at the official NPI Registry.