JEFFREY A HICKLIN (MD) – Diagnostic Radiology Physician, NPI 1083729222
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
298 DIAGNOSTIC RADIOLOGY in KS
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Provider Addresses for JEFFREY A HICKLIN (MD)
8000, West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States
STE 150
OVERLAND PARK, KS 662102338
Phone: (913) 599-6777
Fax: (913) 599-3955
Type: Mailing
Shawnee Mission Medical Center, 9100, West 74th Street, Overland Park, Johnson County, Kansas, 66204, United States
SHAWNEE MISSION, KS 662044004
Phone: (913) 676-2310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Boston Scientific Corporation ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $15 |
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: 2025-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100707000117 | I | Diagnostic Radiology | KS | TBD |
| I20120501000598 | I | Diagnostic Radiology | MO | TBD |
| I20250818003606 | I | Diagnostic Radiology | WI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,085 | 975 | $0 |
| 71046 | X-ray of chest, 2 views | 663 | 655 | $0 |
| 70450 | Ct scan head or brain without contrast | 360 | 354 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 311 | 311 | $0 |
| 73721 | Mri scan of leg joint without contrast | 294 | 291 | $0 |
Insurance plans in this area (ZIP 66210)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KS | 71010 | X-ray of chest, 1 view, front | 446 | 407 |
| DIAGNOSTIC RADIOLOGY | KS | 73630 | X-ray of foot, minimum of 3 views | 21 | 20 |
| DIAGNOSTIC RADIOLOGY | KS | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology, Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS |
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