DR. ARTHUR STERLING TICKNOR M.D.
NPI 1104997774
Family Medicine in Winchester, VA

Q: What is Arthur Ticknor's NPI number?

The NPI number for Arthur Ticknor is 1104997774. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Arthur Ticknor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Arthur Ticknor was last updated on March 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

160 MERCHANT ST STE 100, WINCHESTER, VA 22603(540) 536-5560(540) 536-5561 Get Directions Write a Review

NPPES record last updated: March 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2021, Nov 20, 2019 (2 updates tracked since 2019).

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About Dr. Arthur Sterling Ticknor M.d. NPPES

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

DR. ARTHUR STERLING TICKNOR M.D. (NPI 1104997774) is an individual family medicine provider in Winchester, Virginia, licensed in Virginia (0101262588) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1995).

NPPES Registry Identity

NPI1104997774

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ARTHUR STERLING TICKNORCredential: M.D.

Location Address160 MERCHANT ST STE 100Winchester, VA 22603-4772

Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2888 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 536-5560

Fax(540) 536-5561

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1995

Enumeration DateNovember 13, 2006

Last NPPES UpdateMarch 6, 20212 updates tracked since enumeration

NPPES CertifiedMarch 6, 2021

✔ NPI 1104997774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101262588

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.

160 MERCHANT ST STE 100, Winchester, VA 22603

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Other Identifiers 1

Medicaid1104997774VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Arthur Sterling Ticknor 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 ID941269864

PECOS Enrollment IDI20171028000390

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.

Hospital Affiliations CMS Care Compare 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22603 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

10 suppliers28 claims72 services$5.83 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims17 services$0.99 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers13 claims13 services$37.01 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers14 claims14 services$90.02 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers14 claims41 services$34.15 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers13 claims13 services$18.21 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers19 claims102 services$2.13 avg. paid by Medicare

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

3 suppliers53 claims371 services$11.17 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197

Other-Enteral and Parenteral · category OB005N

3 suppliers55 claims371 services$279.96 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

3 suppliers55 claims371 services$8.03 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

3 suppliers55 claims371 services$25.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims30 services$16.42 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers18 claims18 services$32.17 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers44 claims44 services$86.04 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier14 claims14 services$31.07 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$206.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

STACY SEABRIGHT

Nurse Practitioner (Family)

160 MERCHANT ST STE 100
WINCHESTER, VA 22603

Frederick County (540) 536-5560

SARA ELIZABETH SPRUELL PA-C

Physician Assistant (Medical)

160 MERCHANT ST STE 100
WINCHESTER, VA 22603

Frederick County (540) 536-5560

WINCHESTER MEDICAL CENTER

Clinic/Center (Rural Health)

160 MERCHANT ST STE 100
WINCHESTER, VA 22603

Frederick County (540) 536-5560

DR. ARNOLD MANDELA NANA DJOMO DNP

Nurse Practitioner (Family)

160 MERCHANT ST STE 100
WINCHESTER, VA 22603

Frederick County (540) 536-5560

SHENANDOAH MEMORIAL HOSPITAL, INC.

Family Medicine

160 MERCHANT ST STE 100
WINCHESTER, VA 22603

Frederick County (540) 536-5560

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 Arthur Ticknor's NPI number?

The NPI number for Arthur Ticknor is 1104997774. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Arthur Ticknor located?

Arthur Ticknor practices at 160 Merchant St Ste 100, Winchester, VA 22603. The listed phone number is (540) 536-5560.

What is Arthur Ticknor's specialty?

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

Is Arthur Ticknor enrolled in Medicare?

Yes. Arthur Ticknor 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 Arthur Ticknor accept?

Health plans from CareSource list Arthur Ticknor 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 Arthur Ticknor affiliated with any hospitals?

According to CMS data, Arthur Ticknor is affiliated with Winchester Medical Center, Warren Memorial Hospital and Shenandoah Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Arthur Ticknor was last updated on March 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.