COLIN R HICKENLOOPER (PA-C) – Physician Assistant, NPI 1972550192
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COLIN R HICKENLOOPER (PA-C)
823 N SAN FRANCISCO ST STE A
FLAGSTAFF, AZ 860013265
Phone: (520) 244-0089
Fax: (520) 244-0089
Type: Location
2900 12th Ave N Ste 140W
Billings, MT 591017507
Phone: (406) 237-5050
Fax: (406) 272-3395
Type: Location
5505 W Chandler Blvd Ste 11
Chandler, AZ 852263683
Phone: (602) 753-4133
Fax: (520) 244-0089
Type: Location
900 N SWITZER CANYON DR APT 103
FLAGSTAFF, AZ 860014830
Phone: (907) 538-6776
Fax: (520) 244-0089
Type: Mailing
3801, Lake Otis Parkway, Rogers Park, Anchorage, Alaska, 99508, United States
SUITE 300
ANCHORAGE, AK 995085234
Phone: (907) 562-2277
Fax: (907) 563-3460
Type: Mailing
Fox Meadows Boulevard, Sevierville, Sevier County, Tennessee, 37876, United States
SEVIERVILLE, TN 378626939
Phone: (865) 366-1581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $574.
Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Abbott Laboratories ($503).
Total Amount
$574
General + Research + Ownership
Payments
13
Total payment records
General Amount
$574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $503 |
| Averitas Pharma Inc. | $39 |
| Nevro Corp. | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200428000620 | I | Physician Assistant | TN | TBD |
| I20221101000954 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 478 | 132 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 252 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 206 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 86001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| - | TN | |
| - | TN |
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