Diane Dickinson, M.D.
NPI 1104860519ActiveIndividual· Family Medicine· Portland, ME
Family Medicine (M.D.) in Portland, Maine, trained at University of Massachusetts Medical School (class of 1989). Medicare paid $171,119 for services to 589 patients in 2024.
Overview
| NPI | 1104860519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD25688 | ME |
| Family Medicine | 207Q00000X | G69727 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA); Practitioner - Family Practice (CT); Practitioner - Family Practice (MA); Practitioner - Family Practice (ME); Practitioner - Family Practice (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 589 |
|---|---|
| Services billed | 2,173 across 16 procedure codes |
| Paid by Medicare | $171,119 |
Education and affiliations
| Medical school | University of Massachusetts Medical School |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Family Practice |
Medical groups
- Masstex Imaging, LLCGlastonbury, CT · 12 clinicians
- Restoration Healthcare P.C.Portland, ME · 4 clinicians
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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