DR. PRESTON JAMES KICK (D.O.) – Family Medicine Physician, NPI 1164806048
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,123 FAMILY PRACTICE in PA
Provider Addresses for DR. PRESTON JAMES KICK (D.O.)
605 WEST STATE STREET
MEDIA, PA 190632620
Phone: (301) 752-8529
Type: Location
190 BRODHEAD RD
SUITE 101
BETHLEHEM, PA 180178617
Phone: (610) 694-9090
Type: Mailing
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: 2024-10-16
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180416001516 | I | Family Practice | NJ | TBD |
| I20241016004945 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 121 | 107 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 43 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 31 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 20 | 20 | $0 |
Insurance plans in this area (ZIP 19063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| Internal Medicine | NJ | |
| P O D I A T R Y | NY | |
| - | DE | |
| A N E S T H E S I O L O G Y | PA | |
| Physician Assistant | NJ | |
| Physician Assistant | PA | |
| N E U R O L O G Y | MD | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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