KELLI R HICKLE (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1013303544
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21 PLASTIC AND RECONSTRUCTIVE SURGERY in ME
Provider Addresses for KELLI R HICKLE (M.D.)
244 Western Ave # 100
South Portland, ME 041062496
Phone: (207) 775-3446
Type: Location
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-1000
Type: Mailing
11 ROCK ROW STE 210
WESTBROOK, ME 040924877
Phone: (207) 775-3446
Type: Mailing
244 WESTERN AVE # 100
SOUTH PORTLAND, ME 041062430
Phone: (207) 775-3446
Type: Mailing
55 FRUIT ST # 435
BOSTON, MA 021142696
Phone: (857) 332-0638
Type: Mailing
55 FRUIT ST
BOSTON, MA 021142621
Phone: (480) 235-1383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($137).
Total Amount
$326
General + Research + Ownership
Payments
5
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $137 |
| Mentor Worldwide LLC | $128 |
| Endo USA, Inc. | $43 |
| ABBVIE INC. | $18 |
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: 2022-07-20
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 |
|---|---|---|---|---|
| I20220720000982 | I | Plastic And Reconstructive Surgery | ME | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 04106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Plastic And Reconstructive Surgery, Hand Surgery | ME | |
| Occupational Therapist In Private Practice | ME | |
| Physician Assistant | ME | |
| Physician Assistant | ME | |
| Plastic And Reconstructive Surgery, Hand Surgery | ME | |
| Plastic And Reconstructive Surgery | ME | |
| Occupational Therapist In Private Practice | ME | |
| Physician Assistant | ME | |
| - | ME | |
| Occupational Therapist In Private Practice | ME |
Reviews
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