MISS PAIGE JENNIFER HICKSON (PA-C) – Medical Physician Assistant, NPI 1568425973
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MISS PAIGE JENNIFER HICKSON (PA-C)
Newport Road, Portage, Kalamazoo County, Michigan, 49002, United States
PORTAGE, MI 490029235
Phone: (269) 343-4679
Fax: (269) 343-5929
Type: Mailing
Newport Road, Portage, Kalamazoo County, Michigan, 49081, United States
KALAMAZOO DERMATOLOGY, P.C.
PORTAGE, MI 490029235
Phone: (269) 343-4679
Fax: (269) 343-5929
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,244.
Total Amount is formed as General ($2,244) + Research ($0) + Ownership ($0) = $2,244.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($258).
Total Amount
$2,244
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $258 |
| Janssen Biotech, Inc. | $170 |
| GENZYME CORPORATION | $127 |
| ABBVIE INC. | $106 |
| Lilly USA, LLC | $102 |
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: 2015-06-17
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 |
|---|---|---|---|---|
| I20150617002116 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,924 | 275 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 529 | 430 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 397 | 316 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 170 | 134 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 152 | 139 | $0 |
Insurance plans in this area (ZIP 49002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MI | |
| Emergency Medicine | MI | |
| D E R M A T O L O G Y | MI |
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