WILLIAM LESLIE HICKERSON (MD) – Plastic and Reconstructive Surgery Physician, NPI 1033209606
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WILLIAM LESLIE HICKERSON (MD)
1 Childrens Way # 210
Little Rock, AR 722023500
Phone: (501) 364-1100
Fax: (501) 364-4082
Type: Location
890, Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
SUITE TG032
MEMPHIS, TN 381033409
Phone: (901) 448-2579
Fax: (901) 448-2602
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $87,105.
Total Amount is formed as General ($87,105) + Research ($0) + Ownership ($0) = $87,105.
Last reported payment date: 2024-06-30 • Largest payer in this snapshot: Avita Medical Americas, LLC ($55,856).
Total Amount
$87,105
General + Research + Ownership
Payments
25
Total payment records
General Amount
$87,105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, LLC | $55,856 |
| PolyNovo North America LLC | $30,000 |
| Vericel Corporation | $1,249 |
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: 2005-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050426000625 | I | Plastic And Reconstructive Surgery | AR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| O P H T H A L M O L O G Y | VA | |
| Nephrology, Internal Medicine | TN | |
| Hematology/Oncology, Internal Medicine | TN | |
| O P H T H A L M O L O G Y | TN | |
| Nurse Practitioner | MS | |
| - | TN | |
| Plastic And Reconstructive Surgery | TN | |
| - | NY | |
| - | TN |
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