Jacob Lee Dickinson, MD
NPI 1396866364ActiveIndividual· Surgery· Mountain Home, AR
Surgery (MD) in Mountain Home, Arkansas, trained at University of Arkansas College of Medicine (class of 2003). 413 Medicare patients in 2024, $176,693 paid; nearly all of their 354 Part D prescriptions were generic (98%). Tela Bio, Inc. was the largest of 7 companies reporting payments in 2025, $319.19 in all, mostly food and beverage.
Overview
| NPI | 1396866364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 3, 2007 |
| Last updated in NPPES | Aug 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | E-5452 | AR |
| Surgery, Vascular Surgery | 2086S0129X | E-5452 | AR |
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 - General Surgery (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 413 |
|---|---|
| Services billed | 1,066 across 134 procedure codes |
| Paid by Medicare | $176,693 |
Part D prescriptions in 2024
| Prescriptions (claims) | 354 · 454 30-day fills |
|---|---|
| Patients | 213 |
| Total drug cost | $7,699 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Arkansas College of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | General Surgery |
| Secondary specialties | Colorectal Surgery (Proctology), Surgical Oncology, Vascular Surgery |
Medical group
- Ozark Surgical GroupSalem, AR · 9 clinicians
Hospital affiliations
- Baxter HealthMountain Home, AR
- Baxter Health Fulton County HospitalSalem, AR
- Johnson Regional Medical CenterClarksville, AR
Other facilities
- Baxter Health Home HealthHome health agency · Cotter, AR
Industry payments (Open Payments)
- 2025$319.19 · 8 payments from 7 companies
- 2024$2,026 · 12 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tela Bio, Inc. | $134.72 | 2 |
| Fujifilm Healthcare Americas Corporation | $61.36 | 1 |
| Ethicon US, LLC | $53.25 | 1 |
| Teleflex LLC | $18.36 | 1 |
| Hologic Sales and Service, LLC | $17.47 | 1 |
What the 2025 payments were for
- Food and Beverage$319.19 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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