National Provider Identifier
Kenneth Robert Dickerson, O.D.
Kenneth Robert Dickerson, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 273-3937.
Source: public NPPES record, last updated July 22, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1588778393
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- August 18, 2006
- Last Updated
- July 22, 2016
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 273-3937
Mailing Address
- 601 Elmwood Ave
- Box 888
- Rochester, NY 14642-0001
Specialties
- Optometrist (152W00000X)
Browse Similar Providers
See more Optometrist providers in Rochester, NY.
Medicare Part B Activity
Reported 54 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Optometrist providers in the Rochester, NY metro area.
This provider is in the 16th percentile for Medicare service volume.
Lower volume than many peers.
Performs 67% fewer Medicare services than the peer median.
Higher than 15 of 92 peers.
- Activity Percentile
- 16.3%
- Rank by Services
- 77 of 92
- Total Services
- 54
- Est. Allowed Value
- $2,936.44
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Optometrist across the Rochester, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 12 to 888 total Medicare services.
Top Clinical Services
- 99212: Established patient office or other outpatient visit, 10-19 minutes
54 services | $2,936.44
Full Record
- NPI
- 1588778393
- Entity Type
- Individual
- Last Name
- Dickerson
- First Name
- Kenneth
- Middle Name
- Robert
- Credential
- O.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 888
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 273-3937
- Mailing Fax
- (585) 506-4185
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-3937
- Practice Fax
- (585) 506-4185
- Enumeration Date
- August 18, 2006
- Last Updated
- July 22, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)