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 providers in the Optometrist classification in Rochester, NY.
Medicare Part B Activity
Reported 56 Medicare fee-for-service service lines in 2024.
Peer comparison
Compared to Optometrist providers in the Rochester, NY metro area.
This provider is in the 19th percentile for Medicare service volume.
Lower volume than many peers.
Performs 68% fewer Medicare services than the peer median.
Higher than 18 of 96 peers.
- Activity Percentile
- 18.8%
- Rank by Services
- 78 of 96
- Total Services
- 56
- Est. Allowed Value
- $2,985.40
- Dataset Year
- 2024
- 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: 11 to 968 total Medicare services.
Top Clinical Services
- 99212: Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
56 services | $2,985.40
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
- Taxonomies
- Optometrist (152W00000X)