Michael Shumway Dickerson, D.M.D.
NPI 1619225307ActiveIndividual· Dentist, General Practice· Tempe, AZ
Dentist, General Practice (D.M.D.) in Tempe, Arizona, licensed in AZ, with an NPI issued in August 2012. Part D covered 76 prescriptions written in 2024, 97% of them generic. Ultradent Products Inc was the largest of 2 companies reporting payments in 2025, $338.06 in all, mostly gifts.
Overview
| NPI | 1619225307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Aug 28, 2012 |
| Last updated in NPPES | Feb 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D008558 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 76 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $385.02 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
- 2025$338.06 · 2 payments from 2 companies
- 2024$78.92 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $319.49 | 1 |
| Solventum Corporation | $18.57 | 1 |
What the 2025 payments were for
- Gift$319.49 · 1 payment
- Food and Beverage$18.57 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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