DR. KATHY J HICKMAN (MD) – Child & Adolescent Psychiatry Physician, NPI 1689738643

DR. KATHY J HICKMAN (MD) is a healthcare provider. based in Round rock, Texas. specializing in PSYCHIATRY, GERIATRIC PSYCHIATRY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 39730 (NC). The NPI Number for DR. KATHY J HICKMAN (MD) is 1689738643

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHY J HICKMAN (MD)
NPI
1689738643
Phone
(512) 509-3403
Address
425 UNIVERSITY BLVD
Enumeration Date
21 December 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
5403733223
Graduation Year
1989 (37 years ago)
PAC ID
9830346576
Group Practice PAC ID
8123016318
Professional Enrollment ID
I20190321002910
Address ID
VA224015719FR600XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,132 PSYCHIATRY in TX

Loading map...

Provider Addresses for DR. KATHY J HICKMAN (MD)

  • Baylor Scott & White Clinic – Round Rock 425 University, 425, University Boulevard, Round Rock, Williamson County, Texas, 78665, United States

    ROUND ROCK, TX 786651053

    Phone: (512) 509-3403

    Fax: (512) 509-5424

    Type: Mailing

  • 600 JACKSON ST

    FREDERICKSBURG, VA 224015719

    Phone: (540) 373-3223

    Fax: (540) 371-3753

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-03-21

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181120001647IPsychiatryDCTBD
I20190321002910IPsychiatryVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9932$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

Loading plans...

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: 8123016318View full group profile
NameSpecialtyState
-VA
Clinical Social WorkerVA
Clinical Social WorkerVA
-VA
P S Y C H I A T R YVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
P S Y C H I A T R YDC
Clinical Social WorkerVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. KATHY J HICKMAN (MD) by NPI?
Use NPI 1689738643 when you need to reference DR. KATHY J HICKMAN (MD) in forms, claims, or directories.
Is DR. KATHY J HICKMAN (MD)'s NPI currently valid?
The extract we use shows DR. KATHY J HICKMAN (MD) as active.
What kind of provider is DR. KATHY J HICKMAN (MD)?
The page reflects Child & Adolescent Psychiatry Physician for DR. KATHY J HICKMAN (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. KATHY J HICKMAN (MD)?
We surface Round Rock, Texas for DR. KATHY J HICKMAN (MD) based on available NPPES addresses.
Is DR. KATHY J HICKMAN (MD) a real provider?
This page reflects official NPPES data for NPI 1689738643. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

10103, Jupiter Hills Drive, Austin, Travis County, Texas, 78747, United States
NPI: 1447237078

DAVID EDWARD O'CONNOR (MD)

Psychiatry Physician
3000 Polar Ln Ste 101
NPI: 1699798595

JOANNE SOTELO (M.D.)

Psychiatry Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1922117357

BRIAN CURTIS MASSEY (M.D.)

Child & Adolescent Psychiatry Physician
302, University Boulevard, Round Rock, Williamson County, Texas, 78665, United States
NPI: 1275619306
1009, North Georgetown Street, Round Rock, Williamson County, Texas, 78664, United States
NPI: 1659413409

CHRISTOPHER A. MASI (M.D.)

Child & Adolescent Psychiatry Physician
600 ROUND ROCK WEST DRIVE
NPI: 1053536128

SHAUNA SEXTON REID (MD)

Child & Adolescent Psychiatry Physician
1380, River Bend Drive, Dallas, TX, Dallas, Dallas County, Texas, 75247, United States
NPI: 1396949533

TIN WAI JUDY KOO (MD)

Child & Adolescent Psychiatry Physician
The Georgetonian Office Building, 205, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States
NPI: 1174782049

DR. JESSICA CARMEN REUBEN (M.D.)

Child & Adolescent Psychiatry Physician
1009 N GEORGETOWN ST
NPI: 1083974992