MARTHA A HICKMANN (MD) – Procedural Dermatology Physician, NPI 1437147030
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for MARTHA A HICKMANN (MD)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Phone: (937) 293-5567
Fax: (937) 293-5568
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 94 Open Payments records for all available years, with a total value of $2,739.
Total Amount is formed as General ($2,739) + Research ($0) + Ownership ($0) = $2,739.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($380).
Total Amount
$2,739
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,739
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $380 |
| Amgen Inc. | $353 |
| GENZYME CORPORATION | $224 |
| Regeneron Healthcare Solutions, Inc. | $220 |
| Galderma Laboratories, L.P. | $152 |
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: 2006-12-15
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 |
|---|---|---|---|---|
| I20061215000294 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 12,200 | 35 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 652 | 160 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 634 | 540 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 302 | 269 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 241 | 207 | $0 |
Insurance plans in this area (ZIP 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | OH | |
| D E R M A T O L O G Y | PA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | NC | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| D E R M A T O L O G Y | OH |
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