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DR. KATHLEEN M HICKEY M.D.
NPI 1255362059
Pediatrics in Waterville, ME

Active since July 06, 2006PECOS Enrolled
295C KENNEDY MEMORIAL DR STE 1, WATERVILLE, ME 04901(207) 873-5437(207) 861-6037 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kathleen M Hickey M.d. NPPES

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

DR. KATHLEEN M HICKEY M.D. (NPI 1255362059) is an individual pediatrics provider in Waterville, Maine, licensed in Maine (014312) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255362059
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN M HICKEYCredential: M.D.
Location Address295C KENNEDY MEMORIAL DR STE 1Waterville, ME 04901-4535
Mailing Address295c Kennedy Memorial Dr Ste 1Waterville, ME 04901-4535 · (207) 873-5437 · Fax (207) 872-6037
Phone(207) 873-5437
Fax(207) 861-6037
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1255362059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · 014312
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
295C KENNEDY MEMORIAL DR STE 1, Waterville, ME 04901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen M Hickey M.d. 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 Reassignment

Medicare enrollment records show Kathleen Hickey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center
14 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 9

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

LORIEN C BATT MD
Pediatrics
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
MRS. ANDERSON ELIZABETH CLEMENT FNP-C
Nurse Practitioner (Family)
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
JENNA ELIZABETH SMITH DNP, APRN, FNP-C
Nurse Practitioner (Family)
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
MELISSA D TAYLOR D.O.
Pediatrics
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
MEGAN J BELL NP
Nurse Practitioner
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
DR. MATTHEW CHRISTOPHER MASON DO
Pediatrics
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
JEFFREY A STONE D.O.
Pediatrics
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437
DR. JOHN C HICKEY M.D.
Pediatrics
295C KENNEDY MEMORIAL DR STE 1
WATERVILLE, ME 04901
Kennebec County (207) 873-5437

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 Kathleen Hickey's NPI number?

The NPI number for Kathleen Hickey is 1255362059. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Kathleen Hickey located?

Kathleen Hickey practices at 295C Kennedy Memorial Dr Ste 1, Waterville, ME 04901. The listed phone number is (207) 873-5437.

What is Kathleen Hickey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Hickey enrolled in Medicare?

Yes. Kathleen Hickey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Hickey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Hickey reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The 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 Kathleen Hickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Hickey accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kathleen Hickey 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.

When was this NPI record last updated?

The NPPES record for Kathleen Hickey was last updated on March 25, 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.