Doctor profile · Federal record
Dr. Samuel Dickerson, DO
Anesthesiology Physician (CMS: Anesthesiology) · Anesthesiology Physician · College Station, TX
- NPI 1467656025
- Accepts Medicare
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
700 Scott and White Dr
College Station, TX 778456441
(979) 207-0100 - Mailing address
-
Po Box 844658
Dallas, TX 752844658
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- July 14, 2021
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State licenses (2)
- Texas #M9971 · Texas #BP1-0022044
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467656025. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
171
Distinct HCPCS
8
Medicare allowed
$12,541
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 34 | 34 | $62 | |
00142 |
Anesthesia for lens surgery | 33 | 32 | $60 | |
00812 |
Anesthesia for exam of colon using an endoscope | 22 | 22 | $48 | |
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 22 | 15 | $43 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | 19 | $70 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 16 | 16 | $79 | |
00790 |
Anesthesia for other procedure on upper abdomen | 12 | 12 | $154 | |
01402 |
Anesthesia for procedure for total knee joint replacement | 12 | 12 | $161 |
In context: peer comparison
Among 9 peers in College Station Anesthesiology Physician, average services per provider: 27. This provider delivers 6.3× the peer median.Frequently asked questions
What is Dr. Samuel Dickerson's medical specialty?
Dr. Samuel Dickerson practices Anesthesiology Physician in College Station, TX.
Where does Dr. Samuel Dickerson practice?
Dr. Samuel Dickerson practices at 700 Scott and White Dr, College Station, TX 778456441. Office phone: 9792070100.
What is Dr. Samuel Dickerson's NPI?
Dr. Samuel Dickerson's National Provider Identifier (NPI) is 1467656025, issued by NPPES.
Does Dr. Samuel Dickerson accept Medicare assignment?
Yes. Dr. Samuel Dickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Dickerson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for lens surgery (HCPCS 00142); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.