Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew R Dicker, MD

Individual provider Specialist · NPI 1164418158

Dr. Matthew R Dicker, MD is a Diagnostic Radiology in Prescott, Arizona. Graduated from Saint Louis University School of Medicine in 1994, 32 years ago. Practices with Yavapai Community Hospital Association, a 21-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Trained at
Saint Louis University School of Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Ainsworth Dr Ste 115
Prescott, AZ 86305-1667
Phone: (928) 778-1971
Fax: (928) 443-8473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 33711 (AZ)

Record details

NPI number1164418158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJuly 25, 2011
Mailing address1000 Ainsworth Dr, Suite 115, Prescott, AZ 86305-1667

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Yavapai Community Hospital Association — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Prescott