DR. RUSSELL D HICKS (MD) – Psychiatry Physician, NPI 1215905302

DR. RUSSELL D HICKS (MD) is a healthcare provider. based in Tacoma, Washington. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD60336308 (WA). The NPI Number for DR. RUSSELL D HICKS (MD) is 1215905302

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSSELL D HICKS (MD)
NPI
1215905302
Phone
(253) 968-1110
Address
9040 A REID ST
Enumeration Date
14 March 2006
Last Update Date
23 February 2022

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
2535817020
Graduation Year
1967 (59 years ago)
PAC ID
3072736032
Group Practice PAC ID
7315836350
Professional Enrollment ID
I20140519002332
Address ID
WA984992858LA9330XSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

710 PSYCHIATRY in WA

Provider Addresses for DR. RUSSELL D HICKS (MD)

  • 9040 A REID ST

    MADIGAN ARMY MEDICAL CENTER

    TACOMA, WA 984311000

    Phone: (253) 968-1110

    Type: Location

  • 9330 59th Ave SW

    - Greater Lakes Mental Healthcare

    Lakewood, WA 984992858

    Phone: (253) 581-7020

    Fax: (253) 620-5149

    Type: Location

  • 9330 59TH AVE SW

    - MULTICARE BEHAVIORAL HEALTH

    LAKEWOOD, WA 984992858

    Phone: (253) 445-8120

    Fax: (253) 697-8590

    Type: Location

  • 3516, 197th Avenue Court East, Pierce County, Washington, 98391, United States

    LAKE TAPPS, WA 983919041

    Phone: (253) 312-8682

    Fax: (253) 447-4673

    Type: Mailing

  • P.O. BOX 5299

    MS: 1313-5-PCO

    TACOMA, WA 984150299

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $850.

Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($234).

Total Amount

$850

General + Research + Ownership

Payments

29

Total payment records

General Amount

$850

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2014-05-19

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
I20140519002332IPsychiatryWATBD

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 minutes17528$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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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: 7315836350View full group profile
NameSpecialtyState
Mental Health CounselorWA
Nurse PractitionerWA
Mental Health CounselorWA
-WA
Mental Health CounselorWA
Marriage And Family TherapistCA
Nurse PractitionerWA
Mental Health CounselorWA
Nurse PractitionerNY
-WA

Reviews

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Frequently asked questions

Is DR. RUSSELL D HICKS (MD) listed with a National Provider Identifier?
Yes — DR. RUSSELL D HICKS (MD) has NPI 1215905302 on file in the registry.
Active or inactive — what applies to DR. RUSSELL D HICKS (MD)?
You should see DR. RUSSELL D HICKS (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. RUSSELL D HICKS (MD)?
DR. RUSSELL D HICKS (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. RUSSELL D HICKS (MD) located near Tacoma?
DR. RUSSELL D HICKS (MD) currently maps to Tacoma, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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