MICHAELA MONIQUE HICKEY D.O.
NPI 1194088690
Ophthalmology in Pittsburgh, PA

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
2400 ARDMORE BLVD, SUITE 200, PITTSBURGH, PA 15221(412) 351-3062 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Jul 12, 2016 (2 updates tracked since 2016).

About Michaela Monique Hickey D.o. NPPES

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

MICHAELA MONIQUE HICKEY D.O. (NPI 1194088690) is an individual ophthalmology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS018182) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1194088690
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMICHAELA MONIQUE HICKEYCredential: D.O.
Location Address2400 ARDMORE BLVD, SUITE 200Pittsburgh, PA 15221-5299
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (248) 819-1232
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1194088690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · OS018182
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.
2400 ARDMORE BLVD, Pittsburgh, PA 15221

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

Michaela Monique Hickey D.o. 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 ID6709176555
PECOS Enrollment IDI20160607000483
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 17

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services33 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services28 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.
26 services25 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
22 services15 patients

Hospital Affiliations CMS Care Compare

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15221 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

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.

Ophthalmology
2400 ARDMORE BLVD, SUITE 201
PITTSBURGH, PA 15221
Ophthalmology
2400 ARDMORE BLVD, SUITE 200
PITTSBURGH, PA 15221
Registered Nurse
2400 ARDMORE BLVD
PITTSBURGH, PA 15221
Chiropractor
2400 ARDMORE BLVD
PITTSBURGH, PA 15221
Registered Nurse (General Practice)
2400 ARDMORE BLVD, SUITE 700
PITTSBURGH, PA 15221
Registered Nurse (Home Health)
2400 ARDMORE BLVD, SUITE 700
PITTSBURGH, PA 15221
Social Worker
2400 ARDMORE BLVD
PITTSBURGH, PA 15221
Registered Nurse
2400 ARDMORE BLVD
PITTSBURGH, PA 15221

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 Michaela Hickey's NPI number?

The NPI number for Michaela Hickey is 1194088690. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Michaela Hickey located?

Michaela Hickey practices at 2400 Ardmore Blvd Suite 200, Pittsburgh, PA 15221. The listed phone number is (412) 351-3062.

What is Michaela Hickey's specialty?

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

Is Michaela Hickey enrolled in Medicare?

Yes. Michaela Hickey 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.

Is Michaela Hickey affiliated with any hospitals?

According to CMS data, Michaela Hickey is affiliated with St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Michaela Hickey was last updated on January 26, 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.