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MR. JEROME ANTHONY DIXON D.O. NPI 1215919451


NPI Information

NPI: 1215919451
Provider Name: MR. JEROME ANTHONY DIXON, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 18D0895458

Address:
150 W BEAR TRACK RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 465-8133
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MR. Jerome Anthony Dixon, D.O. is a family medicine in Campbellsville, KY with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Jerome Anthony Dixon, D.O. NPI is 1215919451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1989

The provider's business location address is:

150 W BEAR TRACK RD
CAMPBELLSVILLE, KY
ZIP 42718-709
Phone: (270) 465-8133
Fax: (270) 789-1543

The NPI 1215919451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 18D0895458 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Osteopathic manipulative treatment to 5-6 body regions (HCPCS:98927)
  • Automated urinalysis test (HCPCS:81003)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Osteopathic manipulative treatment to 7-8 body regions (HCPCS:98928)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Osteopathic manipulative treatment to 3-4 body regions (HCPCS:98926)

The enumeration date for this NPI number is 11/15/2005 and was last updated on 12/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM02320KENTUCKYNo
2207QA0401XFamily MedicineAddiction Medicine02320KENTUCKYNo
3207QG0300XFamily MedicineGeriatric Medicine02320KENTUCKYNo
42083X0100XPreventive MedicineOccupational Medicine02320KENTUCKYNo
5207Q00000XFamily Medicine02320KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E92006MEDICARE UPINKENTUCKY
21545201MEDICARE PINKENTUCKY
364023203MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.