HEATHER LICKE MD
NPI 1093026429
Family Medicine in Saint Francis, KS

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
80.77/100
CMS Quality Rating
221 W 1ST ST, SAINT FRANCIS, KS 67756(785) 332-2682(785) 332-2516 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Apr 21, 2022 (2 updates tracked since 2022).

About Heather Licke Md NPPES

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

HEATHER LICKE MD (NPI 1093026429) is an individual family medicine provider in Saint Francis, Kansas, licensed in Kansas (0435055) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of University Of Minnesota Medical School (2010).

NPPES Registry Identity

NPI1093026429
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER LICKECredential: MD
Location Address221 W 1ST STSaint Francis, KS 67756-3540
Mailing Address221 W 1st StSaint Francis, KS 67756-3540 · (785) 332-2682 · Fax (785) 332-2516
Fax(785) 332-2516
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2010
Enumeration DateJune 30, 2010
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
NPI 1093026429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KS · 0435055 Licensed in KS · 7525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 W 1ST ST, Saint Francis, KS 67756

Other Identifiers 2

Other1093026429KS · Bcbs
Medicaid30004035620005KS

Accepted Insurance

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

Heather Licke 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 ID9537334545
PECOS Enrollment IDI20111202000113
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Cheyenne County Hospital

Critical Access Hospitals · St Francis, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171310
Location210 West 1st StreetSt Francis, KS 67756 · Cheyenne County
Emergency services

Citizens Medical Center

Critical Access Hospitals · Colby, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number171362
Location100 E College DriveColby, KS 67701 · Thomas County
Emergency services Birthing friendly

Goodland Regional Medical Center

Critical Access Hospitals · Goodland, KS
OwnershipGovernment - Local
CMS Certification Number171370
Location220 West Second StreetGoodland, KS 67735 · Sherman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67756 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.38
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 32

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims87 services$6.42 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers14 claims20 services$23.21 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
2 suppliers24 claims24 services$24.42 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
3 suppliers45 claims53 services$4.66 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers45 claims51 services$8.82 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers18 claims18 services$43.50 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 2

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

Registered Nurse
221 W 1ST ST
SAINT FRANCIS, KS 67756
Nurse Practitioner (Pediatrics, Critical Care)
221 W 1ST ST
SAINT FRANCIS, KS 67756

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 Heather Licke's NPI number?

The NPI number for Heather Licke is 1093026429. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Heather Licke located?

Heather Licke practices at 221 W 1st St, Saint Francis, KS 67756. The listed phone number is (785) 332-2682.

What is Heather Licke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Licke enrolled in Medicare?

Yes. Heather Licke 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.

What insurance does Heather Licke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Heather Licke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Licke affiliated with any hospitals?

According to CMS data, Heather Licke is affiliated with Hays Medical Center, Cheyenne County Hospital, Citizens Medical Center and Goodland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Licke was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.