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JUSTIN JAMES HICKS SR. MD
NPI 1063907939
Orthopaedic Surgery - Sports Medicine in Pittsburgh, PA

Active since June 24, 2018PECOS EnrolledAccepts Medicare Assignment
1400 LOCUST ST, PITTSBURGH, PA 15219(724) 720-3072 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2024, Aug 1, 2024, Jul 23, 2023 and 1 more (4 updates tracked since 2018).

About Justin James Hicks Sr. Md NPPES

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

JUSTIN JAMES HICKS SR. MD (NPI 1063907939) is an individual sports medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD486379) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Wake Forest University School Of Medicine (2018).

NPPES Registry Identity

NPI1063907939
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJUSTIN JAMES HICKS SR.Credential: MD
Location Address1400 LOCUST STPittsburgh, PA 15219-5114
Mailing Address1400 Locust StPittsburgh, PA 15219-5114 · (724) 720-3072
Phone(724) 720-3072
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2018
Enumeration DateJune 24, 2018
Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1063907939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in PA · MD486379✔ Licensed in NY · 323318
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2018019723 (MO)
1400 LOCUST ST, Pittsburgh, PA 15219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin James Hicks Sr. Md 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 ID8527427194
PECOS Enrollment IDI20240907000369
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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
0.8 mi
Internal Medicine
339 6TH AVE, 5TH FLOOR
Pittsburgh, PA 15222
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225167497 (412) 261-8762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Other Providers at the Same Location NPPES 20

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

DR. BRANDON JOSEPH SMITH MD, PHARMD
Internal Medicine (Infectious Disease)
1400 LOCUST ST, SUITE 10517
PITTSBURGH, PA 15219
Allegheny County (412) 232-5533
KATHERINE LISS
Nurse Anesthetist, Certified Registered
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-8222
ROSS BARR
Nurse Anesthetist, Certified Registered
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-8300
NICHOLAS GUYAN RN, CRNA
Registered Nurse
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-8111
COLTON WEBSTER
Physical Therapist
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-4060
MIRANDA GOMEZ CERQUEIRA PT, DPT
Physical Therapist
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-4060
MICHAEL TURTURRO MD
Emergency Medicine
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-8381
AMY LYNN GILLENBERGER
Occupational Therapist
1400 LOCUST ST
PITTSBURGH, PA 15219
Allegheny County (412) 232-8111

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 Justin Hicks's NPI number?

The NPI number for Justin Hicks is 1063907939. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Justin Hicks located?

Justin Hicks practices at 1400 Locust St, Pittsburgh, PA 15219. The listed phone number is (724) 720-3072.

What is Justin Hicks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Justin Hicks enrolled in Medicare?

Yes. Justin Hicks 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.

Which organization bills Medicare for Justin Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Hicks reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Hicks affiliated with any hospitals?

According to CMS data, Justin Hicks is affiliated with Upmc Mercy and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Justin Hicks was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.