DR. DOUGLAS L JICHA (MD) – Vascular Surgery Physician, NPI 1306879325
Vascular Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DOUGLAS L JICHA (MD)
306, Route 1, Cumberland County, Maine, 04074, United States of America
BLDG C
SCARBOROUGH, ME 04074
Phone: (207) 885-5742
Fax: (207) 885-1494
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 26 Open Payments records for all available years, with a total value of $6,666.
Total Amount is formed as General ($6,666) + Research ($0) + Ownership ($0) = $6,666.
Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Silk Road Medical, Inc. ($6,496).
Total Amount
$6,666
General + Research + Ownership
Payments
26
Total payment records
General Amount
$6,666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $6,496 |
| Cook Medical LLC | $151 |
| Terumo Medical Corporation | $20 |
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: 2007-09-28
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 |
|---|---|---|---|---|
| I20070928000701 | I | Vascular Surgery | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 360 | 277 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 145 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 147 | 147 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 110 | 105 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 91 | 35 | $0 |
Insurance plans in this area (ZIP 04074)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | ME | 93922 | Ultrasound study of arteries of both arms and legs | 28 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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