Doctor profile · Federal record
Dr. Kevin Dickerson, APRN
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Louisville, KY
- NPI 1629636998
- Accepts Medicare
- MIPS 81.7 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
200 E Chestnut St
Louisville, KY 402021800
(502) 636-7111 - Mailing address
-
3112 Timberlake CT
Jeffersonville, IN 471307629
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- June 6, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Kentucky #3013376
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629636998. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,389
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $116 |
In context: peer comparison
Among 99 peers in this city , average services per provider: 26. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$52
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $29.24 | |
| Edwards Lifesciences Corporation | 1 | $22.79 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kevin Dickerson's medical specialty?
Dr. Kevin Dickerson practices Certified Registered Nurse Anesthetist in Louisville, KY.
Where does Dr. Kevin Dickerson practice?
Dr. Kevin Dickerson practices at 200 E Chestnut St, Louisville, KY 402021800. Office phone: 5026367111.
What is Dr. Kevin Dickerson's NPI?
Dr. Kevin Dickerson's National Provider Identifier (NPI) is 1629636998, issued by NPPES.
Does Dr. Kevin Dickerson accept Medicare assignment?
Yes. Dr. Kevin Dickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Dickerson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.