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STUART HICKERSON
NPI 1073629374
Emergency Medicine in Havana, IL

Active since August 21, 2006PECOS Enrolled

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stuart Hickerson NPPES

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

STUART HICKERSON (NPI 1073629374) is an individual emergency medicine provider in Havana, Illinois, licensed in Illinois (036083126) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073629374
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTUART HICKERSON
Location Address12528 SR 78Havana, IL 62644-6866
Mailing Address3333 N Seminary StGalesburg, IL 61401-1251
Phone(309) 543-4253
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1073629374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036083126
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 036083126 (IL)
12528 SR 78, Havana, IL 62644
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Other Identifiers 1

Medicaid036083126IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stuart Hickerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

6

Medicare enrollment records show Stuart Hickerson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcdonough County Hospital District
33 mi
Emergency Medicine
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
NPI 1013048982 (309) 833-4101
Epss LLC - Central Series
34 mi
Emergency Medicine
600 S 13TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 92 clinicians in this Medicare group
NPI 1538680467 (817) 451-4208
Methodist Medical Center Of Illinois
42 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230
Epss Peoria LLC
44 mi
Emergency Medicine
5409 N KNOXVILLE AVE, ER DEPARTMENT
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1831421056 (309) 689-8603
Osf Healthcare System
45 mi
Rural Health
235 E PENN AVE
Roseville, IL 61473
  • Reassigned Medicare billing, Illinois enrollment
  • 93 clinicians in this Medicare group
NPI 1730788902 (309) 426-2128
Carle Health Medical Group
101 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
301 services290 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
191 services186 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
101 services98 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
30 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62644 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES

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

ASHLEY MARMON FNP-C
Nurse Practitioner (Family)
12528 SR 78
HAVANA, IL 62644
Mason County (309) 543-4253

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 Stuart Hickerson's NPI number?

The NPI number for Stuart Hickerson is 1073629374. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Stuart Hickerson located?

Stuart Hickerson practices at 12528 Sr 78, Havana, IL 62644. The listed phone number is (309) 543-4253.

What is Stuart Hickerson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stuart Hickerson enrolled in Medicare?

Yes. Stuart Hickerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stuart Hickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stuart Hickerson reassigns Medicare benefits to 6 organizations: Mcdonough County Hospital District (Macomb, IL), Epss LLC - Central Series (Pekin, IL), Methodist Medical Center Of Illinois (Peoria, IL), Epss Peoria LLC (Peoria, IL), Osf Healthcare System (Roseville, IL) and 1 more organization, listed in the Medicare section above. Each 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 Stuart Hickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stuart Hickerson was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.