DR. MATTHEW JORDAN DICKSON M.D. NPI 1528021706

NPI Information

  • NPI: 1528021706
  • Provider Name: DR. MATTHEW JORDAN DICKSON, M.D.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14 HUDSON AVENUE
    ADIRONDACK ENT
    GLENS FALLS, NY
    ZIP 12801
  • Phone: (518) 926-1380

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NPI Details

DR. Matthew Jordan Dickson, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Glens Falls, NY with 25 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Matthew Jordan Dickson, M.D. NPI is 1528021706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

14 HUDSON AVENUE
ADIRONDACK ENT
GLENS FALLS, NY
ZIP 12801-363
Phone: (518) 926-1380
Fax: (518) 926-1385

The NPI 1528021706 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 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.

  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/30/2024.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery244280NEW YORKYes
2207YS0123XOtolaryngologyFacial Plastic Surgery57061GEORGIANo

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
102897047MEDICAIDNEW YORK

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

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