JOHN HICKS (MD) – Emergency Medicine Physician, NPI 1962632679

JOHN HICKS (MD) is a healthcare provider. based in Detroit, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME113270 (FL). The NPI Number for JOHN HICKS (MD) is 1962632679

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN HICKS (MD)
NPI
1962632679
Phone
(561) 379-5252
Address
100 RIVERFRONT DR APT 1303
Enumeration Date
16 July 2009
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724614000
Graduation Year
2009 (17 years ago)
PAC ID
1658520721
Group Practice PAC ID
7113188632
Professional Enrollment ID
I20121004000479
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN HICKS (MD)

  • 100 RIVERFRONT DR APT 1303

    DETROIT, MI 482264538

    Phone: (561) 379-5252

    Type: Mailing

  • DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States

    DETROIT, MI 482352624

    Phone: (313) 966-1020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121004000479IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making141140$0
99285Emergency department visit with high level of medical decision making8989$0
99283Emergency department visit with low level of medical decision making3333$0
View full utilization report →

Insurance plans in this area (ZIP 48226)

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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: 7113188632View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN HICKS (MD)?
NPI 1962632679 is assigned to JOHN HICKS (MD) under the national enumeration system.
Is JOHN HICKS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JOHN HICKS (MD) treat or focus on?
Patients typically see JOHN HICKS (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOHN HICKS (MD)?
The page summarizes Detroit, Michigan for JOHN HICKS (MD); expand the address list for detail.
How can I contact JOHN HICKS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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