NPI Details
DR. Clark Bart Dickson, M.D. is an otolaryngology in Southfield, MI with 44 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Clark Bart Dickson, M.D. NPI is 1770560427. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1982
The provider's business location address is:
29201 TELEGRAPH RD
SUITE 500
SOUTHFIELD, MI
ZIP 48034-331
Phone: (248) 569-5985
Fax: (248) 569-3704
The NPI 1770560427 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Test to assess middle ear function (HCPCS:92567)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
- Evaluation and testing for balance with recording (HCPCS:92540)
- Test to assess balance during warm and cool irrigation in both ears (HCPCS:92537)
- Incision of eardrum with insertion of eardrum tube under local or topical anesthesia (HCPCS:69433)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Complete exam of nose and sinuses using an endoscope (HCPCS:31253)
- Incision of sphenoid nasal sinus using an endoscope (HCPCS:31287)
- Reshaping of nasal cartilage (HCPCS:30520)
- Simple control of nose bleed (HCPCS:30901)
- Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 12/23/2005 and was last updated on 3/13/2012.
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 |
| 1 | 207Y00000X | Otolaryngology | | CD046491 | MICHIGAN | Yes |
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 |
| 1 | E25598 | MEDICARE UPIN | MICHIGAN | |
| 2 | 3211330 | MEDICAID | MICHIGAN | |
| 3 | 0632207 | MEDICARE ID-TYPE UNSPECIFIED | MICHIGAN | |