DR. M SCOTT HICKMAN M.D.
NPI 1114953965
Ophthalmology in Lawrence, KS

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
74.95/100
CMS Quality Rating
4955 RESEARCH PARK WAY, LAWRENCE, KS 66047(785) 424-8805(913) 229-7030 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Feb 26, 2025, Jul 23, 2020 and 2 more (5 updates tracked since 2017).

About Dr. M Scott Hickman M.d. NPPES

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

DR. M SCOTT HICKMAN M.D. (NPI 1114953965) is an individual ophthalmology provider in Lawrence, Kansas, licensed in Kansas (04-32997) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2003).

NPPES Registry Identity

NPI1114953965
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. M SCOTT HICKMANCredential: M.D.
Location Address4955 RESEARCH PARK WAYLawrence, KS 66047-3944
Mailing Address4955 Research Park WayLawrence, KS 66047-3944 · (785) 424-8805 · Fax (913) 229-7030
Fax(913) 229-7030
Sole ProprietorYes
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2003
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 19, 20255 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1114953965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in KS · 04-32997 Licensed in KS · 0432997
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4955 RESEARCH PARK WAY, Lawrence, KS 66047

Other Names 1

Other Name (5)Dr. M Scott Hickman M.d.

Other Identifiers 2

Other016353KS · Medicare Provider Number
Other1770016727Group Npi

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

Dr. M Scott Hickman 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 ID5193898914
PECOS Enrollment IDI20080725000623
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 18

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
776 services648 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
342 services200 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
335 services282 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
297 services180 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
265 services265 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
232 services208 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66047 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

74.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.25
Improvement Activities40
Cost20.18

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%367 patients
Diabetes: Eye Exam
100%161 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
97%2,212 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
81%27 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%143 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,251 patients
Patients totalRate: 0% · 1,251 patients
0%1,251 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
4955 RESEARCH PARK WAY
LAWRENCE, KS 66047

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 M Scott Hickman's NPI number?

The NPI number for M Scott Hickman is 1114953965. It was assigned to this individual provider in the NPPES registry on June 23, 2006. The provider is also known as Dr. M Scott Hickman M.D..

Where is M Scott Hickman located?

M Scott Hickman practices at 4955 Research Park Way, Lawrence, KS 66047. The listed phone number is (785) 424-8805.

What is M Scott Hickman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is M Scott Hickman enrolled in Medicare?

Yes. M Scott Hickman 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 M Scott Hickman 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 3 other insurers list M Scott Hickman 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 M Scott Hickman affiliated with any hospitals?

According to CMS data, M Scott Hickman is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for M Scott Hickman was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.