DR. DAVID C HICKS (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1104807924

DR. DAVID C HICKS (M.D.) is a healthcare provider. based in Springfield, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 2004009696 (MO). The NPI Number for DR. DAVID C HICKS (M.D.) is 1104807924

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID C HICKS (M.D.)
NPI
1104807924
Phone
(417) 875-3800
Address
3555 S NATIONAL AVE
Enumeration Date
9 November 2005
Last Update Date
31 August 2012

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4178753000
Graduation Year
1998 (28 years ago)
PAC ID
6709851173
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20040830000351
Address ID
MO658077310SP3555XNATI301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for DR. DAVID C HICKS (M.D.)

  • 3555, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SUITE 100

    SPRINGFIELD, MO 658077310

    Phone: (417) 875-3800

    Fax: (417) 875-3176

    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 13 Open Payments records for all available years, with a total value of $1,450.

Total Amount is formed as General ($1,450) + Research ($0) + Ownership ($0) = $1,450.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Titan Surgical Group, Llc ($1,159).

Total Amount

$1,450

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,450

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2004-08-30

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
I20040830000351IOrthopedic SurgeryMOTBD

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
73560X-ray of knee, 1-2 views14741$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11223$0
73562X-ray of knee, 3 views10148$0
73030X-ray of shoulder, minimum of 2 views6424$0
73630X-ray of foot, minimum of 3 views5125$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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Provider's Procedures

DR. DAVID C HICKS (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO20610Aspiration and/or injection of large joint or joint capsule10577
ORTHOPEDIC SURGERYMO73562X-ray of knee, 3 views13560
ORTHOPEDIC SURGERYMO73630X-ray of foot, minimum of 3 views16375

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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
N E P H R O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

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Frequently asked questions

What unique ID ties claims to DR. DAVID C HICKS (M.D.)?
NPI 1104807924 is assigned to DR. DAVID C HICKS (M.D.) under the national enumeration system.
Is DR. DAVID C HICKS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DAVID C HICKS (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Foot and Ankle Surgery Physician for DR. DAVID C HICKS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. DAVID C HICKS (M.D.)?
We surface Springfield, Missouri for DR. DAVID C HICKS (M.D.) based on available NPPES addresses.
Is DR. DAVID C HICKS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104807924. Always confirm identity and privileges with the practice and licensing boards.

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