Doctor profile · Federal record

Dr. Kenneth Dickerson, O.D.

Optometrist (CMS: Optometry) · Rochester, NY

  • NPI 1588778393
  • Accepts Medicare
  • MIPS 71.5 / 100 · 2023
  • 20 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
601 Elmwood Ave
Rochester, NY 146420001
(585) 273-3937
fax (585) 506-4185

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
July 22, 2016
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
New York #007366

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588778393. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
54
Distinct HCPCS
1
Medicare allowed
$2,936
HCPCS Description Services Patients Avg allowed
99212 Established patient office or other outpatient visit, 10-19 minutes 54 19 $54

In context: peer comparison

Among 13 peers in this city , average services per provider: 38. This provider delivers 1.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$161
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Bausch & Lomb Americas Inc. 1 $95.71
Alcon Vision LLC 2 $41.22
Sight Sciences, Inc. 1 $23.92

By nature of payment

Food and Beverage
$161

Frequently asked questions

Auto-generated from federal data
What is Dr. Kenneth Dickerson's medical specialty?
Dr. Kenneth Dickerson practices Optometrist in Rochester, NY.
Where does Dr. Kenneth Dickerson practice?
Dr. Kenneth Dickerson practices at 601 Elmwood Ave, Rochester, NY 146420001. Office phone: 5852733937.
What is Dr. Kenneth Dickerson's NPI?
Dr. Kenneth Dickerson's National Provider Identifier (NPI) is 1588778393, issued by NPPES.
Does Dr. Kenneth Dickerson accept Medicare assignment?
Yes. Dr. Kenneth Dickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Dickerson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.