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MARK G HICKEY M.D.
NPI 1063480499
Psychiatry & Neurology - Sleep Medicine in Louisville, CO

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
950 SPRUCE ST STE 1H, LOUISVILLE, CO 80027(720) 598-1189 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Nov 24, 2015 (2 updates tracked since 2015).

About Mark G Hickey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK G HICKEY M.D. (NPI 1063480499) is an individual sleep medicine provider in Louisville, Colorado, licensed in Colorado (DR-48317) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2006).

NPPES Registry Identity

NPI1063480499
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameMARK G HICKEYCredential: M.D.
Location Address950 SPRUCE ST STE 1HLouisville, CO 80027-1977
Mailing Address950 Spruce St Ste 1hLouisville, CO 80027-1977 · (720) 625-8787
Phone(720) 598-1189
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2006
Enumeration DateMarch 10, 2006
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1063480499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in CO · DR-48317
Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

950 SPRUCE ST STE 1H, Louisville, CO 80027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark G Hickey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870646607
PECOS Enrollment IDI20100610000646
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to measure oxygen level in blood using ear or finger device continuously overnight 94762
This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.
89 services77 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
49 services45 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
13%112 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
11%89 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%112 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%112 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
21%112 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers36 claims36 services$38.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$90.17 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers19 claims40 services$33.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers17 claims81 services$18.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers25 claims25 services$54.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers28 claims28 services$17.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE ALLEN YOUNG PA-C
Physician Assistant
950 SPRUCE ST STE 1H
LOUISVILLE, CO 80027
Boulder County (720) 598-1189
REM SLEEP MEDICINE P.C.
Psychiatry & Neurology (Sleep Medicine)
950 SPRUCE ST STE 1H
LOUISVILLE, CO 80027
Boulder County (720) 598-1189
MR. CASSIDY J. SANDERS PA
Physician Assistant
950 SPRUCE ST STE 1H
LOUISVILLE, CO 80027
Boulder County (720) 598-1189
POOJA A PATEL
Physician Assistant
950 SPRUCE ST STE 1H
LOUISVILLE, CO 80027
Boulder County (720) 598-1189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Hickey's NPI number?

The NPI number for Mark Hickey is 1063480499. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Mark Hickey located?

Mark Hickey practices at 950 Spruce St Ste 1H, Louisville, CO 80027. The listed phone number is (720) 598-1189.

What is Mark Hickey's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Mark Hickey enrolled in Medicare?

Yes. Mark Hickey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Hickey was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.