RANDY DAVID HICKS (MD) – Diagnostic Radiology Physician, NPI 1376509851

RANDY DAVID HICKS (MD) is a healthcare provider. based in Flint, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301048682 (MI). The NPI Number for RANDY DAVID HICKS (MD) is 1376509851

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
RANDY DAVID HICKS (MD)
NPI
1376509851
Phone
(810) 244-7109
Address
3346 LENNON ROAD
Enumeration Date
25 April 2006
Last Update Date
9 January 2018

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8107321920
Graduation Year
1984 (42 years ago)
PAC ID
1254394166
Group Practice PAC ID
4688637697
Professional Enrollment ID
I20060308000726
Address ID
MI485071082FL3346XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for RANDY DAVID HICKS (MD)

  • 3346, West Lennon Road, Flint Charter Township, Genesee County, Michigan, 48507, United States

    SUITE 2

    FLINT, MI 485071015

    Phone: (810) 244-7109

    Fax: (810) 732-3740

    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 6 Open Payments records for all available years, with a total value of $1,760.

Total Amount is formed as General ($1,760) + Research ($0) + Ownership ($0) = $1,760.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: iCAD, Inc ($1,500).

Total Amount

$1,760

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060308000726IDiagnostic RadiologyMITBD
I20170125002101IDiagnostic RadiologyFLTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml7,26045$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,73718$0
77067Screening mammography978782$0
77063Screening 3d breast mammography978782$0
77080Dxa bone density measurement of hip, pelvis, spine503358$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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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: 4688637697View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Nurse PractitionerGA
Diagnostic RadiologyMI
Interventional Radiology, Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologySD

Reviews

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Frequently asked questions

What is RANDY DAVID HICKS (MD)'s NPI number?
RANDY DAVID HICKS (MD)'s NPI is 1376509851 — the number used across U.S. healthcare to identify this provider.
Is there an active status for RANDY DAVID HICKS (MD)?
For scheduling context, RANDY DAVID HICKS (MD) is shown as active in the registry.
What clinical focus is listed for RANDY DAVID HICKS (MD)?
At a glance, RANDY DAVID HICKS (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is RANDY DAVID HICKS (MD) associated with Flint?
Public fields place RANDY DAVID HICKS (MD) around Flint, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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