KEVIN R HICKMAN (O.D.) – Optometrist, NPI 1609879030

KEVIN R HICKMAN (O.D.) is a healthcare provider. based in Warsaw, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002532 (IN). The NPI Number for KEVIN R HICKMAN (O.D.) is 1609879030

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN R HICKMAN (O.D.)
NPI
1609879030
Phone
(574) 269-2777
Address
2251 DUBOIS DR
Enumeration Date
31 May 2005
Last Update Date
22 February 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5742710120
Graduation Year
1991 (35 years ago)
PAC ID
3577524289
Group Practice PAC ID
7810897758
Professional Enrollment ID
I20100305000699
Address ID
IN465451446MI4330XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for KEVIN R HICKMAN (O.D.)

  • 2251 DUBOIS DR

    WARSAW, IN 465803212

    Phone: (574) 269-2777

    Fax: (574) 371-4697

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($76).

Total Amount

$189

General + Research + Ownership

Payments

11

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100305000699IOptometryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes761636$0
92133Imaging of optic nerve161157$0
92083Exam of visual field with extended testing152148$0
92134Imaging of retina11383$0
99212Established patient office or other outpatient visit, 10-19 minutes8870$0
View full utilization report →

Insurance plans in this area (ZIP 46580)

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Provider's Procedures

KEVIN R HICKMAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92083Measurement of field of vision during daylight conditions126125
OPTOMETRYIN92134Diagnostic imaging of retina11892

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810897758View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN

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Frequently asked questions

What identifier follows KEVIN R HICKMAN (O.D.) across health systems?
The NPI 1609879030 uniquely identifies KEVIN R HICKMAN (O.D.) in U.S. healthcare data.
Is KEVIN R HICKMAN (O.D.)'s NPI status active today?
Active status means KEVIN R HICKMAN (O.D.)'s NPI record is not deactivated in the public file.
What type of care does KEVIN R HICKMAN (O.D.) provide?
KEVIN R HICKMAN (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN R HICKMAN (O.D.)?
KEVIN R HICKMAN (O.D.) is associated with Warsaw, Indiana in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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