DR. DAVID LESTER DICKENSHEETS M.D.
NPI 1578572061
Internal Medicine - Infectious Disease in Roswell, GA
Quality Rating: 86.55 out of 100 score
NPI Status: Active since August 05, 2006
Contact Information
11660 ALPHARETTA HWY
SUITE 430
ROSWELL, GA
ZIP 30076
Phone: (770) 255-1069
Fax: (770) 255-1075
- Individual
- Male
- Internal Medicine
- Infectious Disease
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID DICKENSHEETS
This page provides the complete NPI Profile along with additional information for David Dickensheets, an internist established in Roswell, Georgia with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1578572061 assigned on August 2006. The practitioner's primary taxonomy code is 207RI0200X with license number 045769 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1578572061
- Provider Name
- DR. DAVID LESTER DICKENSHEETS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076
- Location Phone
- (770) 255-1069
- Location Fax
- (770) 255-1075
- Mailing Address
- 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076
- Mailing Phone
- (770) 255-1069
- Mailing Fax
- (770) 255-1075
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like David Dickensheets is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 045769
- License State
- GA
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11SCDRH | MEDICARE ID-TYPE UNSPECIFIED (04) | GA | |
| D21074 | MEDICARE UPIN (02) | GA | |
| 000803602C | MEDICAID (05) | GA |
Medicare Participation & PECOS Enrollment Status
David Dickensheets 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
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 15 times for 13 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30076 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.64
- Minimum New Patient Price $56.84
- Maximum New Patient Price $172.43
- Average New Patient Copayment $32.66
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.1
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.2
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $140.4
- Average Established Patient Copayment $25.05
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $35.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 86.55, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 86.55 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 92.56
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 48.42
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 48.42
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 98% | 824 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 64% | 340 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Medication Reconciliation | 96% | 416 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 88% | 287 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 63% | 164 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 67% | 817 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 98% | 287 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 8% | 287 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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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 | 5 | 7 | 8 | 5 | 7 | 2 | 0 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 7 | 4 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 7 + 4 + 0 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1578572061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831188085 | DR. TITU D DAS MD Individual | Internal Medicine (Infectious Disease) | 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076 (770) 255-1069 |
| 1659358448 | MS. ALISE MARIE JONES-BAILEY M.D. Individual | Specialist | 11660 ALPHARETTA HWY SUITE 285 ROSWELL, GA 30076 (770) 667-9997 |
| 1841266996 | RABIUL ALAM MD Individual | Internal Medicine (Infectious Disease) | 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076 (770) 255-1069 |
| 1447283635 | FOUNDATION THERAPY CENTER-ALPHARETTA, LLC Organization | Physical Therapist | 11660 ALPHARETTA HWY SUITE 560 ROSWELL, GA 30076 (770) 753-9195 |
| 1568478162 | DR. MICHAEL PARKER DAILEY M.D. Individual | Internal Medicine (Infectious Disease) | 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076 (770) 255-1069 |
| 1023028842 | MS. BARBARA L NORVELL C.N.P. Individual | Nurse Practitioner (Family) | 11660 ALPHARETTA HWY SUITE 430 ROSWELL, GA 30076 (770) 255-1069 |
| 1285726349 | MEREDITH THOMAS RIDDICK M.D. Individual | Specialist | 11660 ALPHARETTA HWY SUITE 420 ROSWELL, GA 30076 (770) 442-5882 |
| 1407927809 | DR. LAURA MURPHY BLEEKRODE MD Individual | Pediatrics | 11660 ALPHARETTA HWY STE 290 ROSWELL, GA 30076 (770) 664-4430 |
| 1518034222 | ADULT NEUROLOGY OF NORTH ATLANTA, P.C. Organization | Specialist | 11660 ALPHARETTA HWY SUITE 420 ROSWELL, GA 30076 (770) 663-8765 |
| 1780732370 | ANGELA M VOLNER OTRL Individual | Occupational Therapist | 11660 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 754-0085 |
| 1528116126 | MARCY SIMPSON OTRL Individual | Occupational Therapist | 11660 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 754-0085 |
| 1508915828 | JODIANN HAMMOND M.ED.CCC-SLP Individual | Speech-Language Pathologist | 11660 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 754-0085 |
| 1861511792 | AMERICAN MEDICAL SENIOR SERVICES Organization | Social Worker (Clinical) | 11660 ALPHARETTA HWY ROSWELL, GA 30076 (770) 619-7011 |
| 1467641068 | MRS. TIMA PATEL PT Individual | Physical Therapist | 11660 ALPHARETTA HWY ROSWELL, GA 30076 (770) 753-9195 |
| 1215106190 | ALPHARETTA GASTROENTEROLOGY ASSOC., P.C. Organization | Specialist | 11660 ALPHARETTA HWY SUITE 420 ROSWELL, GA 30076 (770) 442-5882 |
| 1184888588 | ALLERGY AND ASTHMA CONSULTANTS, P.C. Organization | Allergy & Immunology | 11660 ALPHARETTA HWY BLDG 600 SUITE 620 ROSWELL, GA 30076 (770) 740-9600 |
| 1053633073 | SUSAN M PHELPS OTR/L Individual | Occupational Therapist | 11660 ALPHARETTA HWY SUITE 540 ROSWELL, GA 30076 (770) 569-2274 |
| 1588901060 | MRS. MARCY ELIZABETH NASE DPT Individual | Physical Therapist | 11660 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 754-0085 |
| 1477841310 | RENAL CAREPARTNERS OF ROSWELL LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 11660 ALPHARETTA HWY SUITE 650 ROSWELL, GA 30076 (305) 512-0014 |
| 1730449968 | MELISSA GEORGE PTA Individual | Physical Therapy Assistant | 11660 ALPHARETTA HWY SUITE 320 ROSWELL, GA 30076 (770) 754-0085 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578572061, enumerated in the NPI registry as an "individual" on August 05, 2006
The provider is located at 11660 Alpharetta Hwy Suite 430 Roswell, Ga 30076 and the phone number is (770) 255-1069
The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on August 05, 2006. 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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