DR. JERRY ERVIN DICKSON M.D.
NPI 1285757112
Specialist in Houston, TX
NPI Status: Active since April 07, 2007
Contact Information
8945 LONG POINT RD
SUITE 101
HOUSTON, TX
ZIP 77055
Phone: (713) 461-8400
- Individual
- Male
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About JERRY DICKSON
This page provides the complete NPI Profile along with additional information for Jerry Dickson, a provider established in Houston, Texas with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1285757112 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number D4091 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1285757112
- Provider Name
- DR. JERRY ERVIN DICKSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8945 LONG POINT RD SUITE 101 HOUSTON, TX 77055
- Location Phone
- (713) 461-8400
- Mailing Address
- 8945 LONG POINT RD SUITE 101 HOUSTON, TX 77055
- Mailing Phone
- (713) 461-8400
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-07-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jerry Dickson opted out of Medicare effective on 01-01-2015 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- D4091
- License State
- TX
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Medicare Participation & PECOS Enrollment Status
Jerry Dickson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2015
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. JERRY ERVIN DICKSON M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 7 | 5 | 7 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 14 | 5 | 14 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 4 + 5 + 1 + 4 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1285757112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205893906 | MR. MICHAEL ANDREW FOULDS A.T.C; L.A.T. Individual | Specialist/Technologist (Athletic Trainer) | 8945 LONG POINT RD #209 HOUSTON, TX 77055 (713) 467-8886 |
| 1447207246 | MRS. BETH M SKILLINS PA-C Individual | Physician Assistant (Medical) | 8945 LONG POINT RD 212 HOUSTON, TX 77055 (713) 464-7212 |
| 1285956292 | HOWARD M. SUSSMAN, M.D., P.A. Organization | Internal Medicine (Gastroenterology) | 8945 LONG POINT RD SUITE 115 HOUSTON, TX 77055 (713) 461-6500 |
| 1578703989 | YONG SIK KIM MD PLLC Organization | Clinic/Center (Primary Care) | 8945 LONG POINT RD #114 HOUSTON, TX 77055 (713) 932-0240 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285757112, enumerated in the NPI registry as an "individual" on April 07, 2007
The provider is located at 8945 Long Point Rd Suite 101 Houston, Tx 77055 and the phone number is (713) 461-8400
The provider's speciality is Specialist with taxonomy code 174400000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
No, the provider signed an affidavit on January 01, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on April 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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