DR. DAVID J KICKLITER (MD) – Family Medicine Physician, NPI 1609850569

DR. DAVID J KICKLITER (MD) is a healthcare provider. based in Newport, Tennessee. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 17859 (TN). The NPI Number for DR. DAVID J KICKLITER (MD) is 1609850569

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID J KICKLITER (MD)
NPI
1609850569
Phone
(423) 623-6240
Address
407 4TH ST
Enumeration Date
5 December 2005
Last Update Date
6 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4235879949
Graduation Year
1985 (41 years ago)
PAC ID
0345142865
Group Practice PAC ID
5890690978
Professional Enrollment ID
I20100902000587
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

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Provider Addresses for DR. DAVID J KICKLITER (MD)

  • 407, 4th Street, Newport, Washington County, Minnesota, 55055, United States

    NEWPORT, TN 378213755

    Phone: (423) 623-6240

    Fax: (423) 623-0102

    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 12 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Lilly USA, LLC ($35).

Total Amount

$201

General + Research + Ownership

Payments

12

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
J1100Injection, dexamethasone sodium phosphate, 1 mg19237$0
96372Injection of drug or substance under skin or into muscle17958$0
99214Established patient office or other outpatient visit, 30-39 minutes11692$0
36415Insertion of needle into vein for collection of blood sample11399$0
99213Established patient office or other outpatient visit, 20-29 minutes10175$0
View full utilization report →

Insurance plans in this area (ZIP 37821)

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Provider's Procedures

DR. DAVID J KICKLITER (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN73562X-ray of knee, 3 views1211
FAMILY MEDICINETN82270Stool analysis for blood to screen for colon tumors2828
FAMILY MEDICINETN83036Hemoglobin A1C level189111
FAMILY MEDICINETN85610Blood test, clotting time21929
FAMILY MEDICINETN90670Pneumococcal vaccine for injection into muscle8282

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: 5890690978View full group profile
NameSpecialtyState
-TN
Nurse PractitionerTN
Nurse Practitioner, Certified Clinical Nurse Specialist (Cns)TN
Orthopedic SurgeryIA
P O D I A T R YTN
Nurse PractitionerTN
P O D I A T R YTN
Physician AssistantTN
-TN
Family PracticeTN

Reviews

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Frequently asked questions

Does DR. DAVID J KICKLITER (MD) have a public NPI I can cite?
Public records show DR. DAVID J KICKLITER (MD) under NPI 1609850569.
Is DR. DAVID J KICKLITER (MD)'s NPI status active today?
Active status means DR. DAVID J KICKLITER (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DAVID J KICKLITER (MD)?
NPPES ties DR. DAVID J KICKLITER (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DAVID J KICKLITER (MD)?
DR. DAVID J KICKLITER (MD) is associated with Newport, Tennessee in the same public data insurers reference.
Why is information missing for DR. DAVID J KICKLITER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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