Doctor profile · Federal record
Dr. Madeline Dickerson, Ag-ACNP
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Fort Worth, TX
- NPI 1104220029
- Accepts Medicare
- MIPS 75.3 / 100 · 2023
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
800 5Th Ave Ste 500
Fort Worth, TX 761047304
(817) 250-4280
Credentials & registration
- NPI registered
- October 2014 — 12 yrs on file
- Profile last updated
- February 21, 2022
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Texas #AP126665
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104220029. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
231
Distinct HCPCS
3
Medicare allowed
$24,252
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 128 | 119 | $106 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $131 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 50 | 47 | $74 |
In context: peer comparison
Among 29 peers in this city , average services per provider: 101. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$32
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Radius Health, Inc. | 1 | $32.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
68
Patients
28
Total drug cost
$599
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 22 | 15 | $300 |
| Tramadol Hcl | Generic | 18 | 13 | $66 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 16 | 0 | $80 |
| Methocarbamol | Generic | 12 | 0 | $153 |
Frequently asked questions
What is Dr. Madeline Dickerson's medical specialty?
Dr. Madeline Dickerson practices Acute Care Nurse Practitioner in Fort Worth, TX.
Where does Dr. Madeline Dickerson practice?
Dr. Madeline Dickerson practices at 800 5Th Ave Ste 500, Fort Worth, TX 761047304. Office phone: 8172504280.
What is Dr. Madeline Dickerson's NPI?
Dr. Madeline Dickerson's National Provider Identifier (NPI) is 1104220029, issued by NPPES.
Does Dr. Madeline Dickerson accept Medicare assignment?
Yes. Dr. Madeline Dickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Madeline Dickerson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.