Jeremy Lee Dickerson, MD
NPI 1043446206ActiveIndividual· Family Medicine, Sports Medicine· San Antonio, TX
Family Medicine, Sports Medicine (MD) in San Antonio, Texas, trained at Texas Tech University Health Science Center School of Medicine (class of 2009). 224 Medicare patients in 2024, $49,260 paid; all of their 56 Part D prescriptions were generic.
Overview
| NPI | 1043446206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 2, 2009 |
| Last updated in NPPES | Nov 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | P4860 | TX |
| Family Medicine | 207Q00000X | BP10035367 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 3,026 across 47 procedure codes |
| Paid by Medicare | $49,260 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 56 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $351.50 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Sports Medicine |
Medical groups
- Shea Physical Therapy Specialists LLCCorpus Christi, TX · 202 clinicians
- Methodist Physician Practices PLLCLive Oak, TX · 175 clinicians
Hospital affiliation
- Baptist Medical CenterSan Antonio, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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