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

Map and Directions

Get Directions

NPI Details

MR. Jerome Anthony Dixon, D.O. is a family medicine in Campbellsville, KY with 37 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Osteopathic manipulative treatment, 5-6 body regions (HCPCS:98927)
  • Automated urinalysis test (HCPCS:81003)
  • Physician or allowed practitioner re-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 a (HCPCS:G0179)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Physician or allowed practitioner 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 and (HCPCS:G0180)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Osteopathic manipulative treatment, 7-8 body regions (HCPCS:98928)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

NPI Synchronization or Removal

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.