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THOMAS HICKS
NPI 1306684261
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Active since July 16, 2024PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Hicks NPPES

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

THOMAS HICKS (NPI 1306684261) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (F406018-01) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306684261
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS HICKS
Location Address101 NICOLLS RDStony Brook, NY 11794-3225
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 689-8333
Phone(631) 689-8333
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1306684261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F406018-01
101 NICOLLS RD, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Hicks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547793689
PECOS Enrollment IDI20241029001683
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 Reassignments

2

Medicare enrollment records show Thomas Hicks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stony Brook Psychiatric Associates, University Faculty Practice Corpor
0.5 mi
Psychiatry
SUNY @ STONY BROOK, HSC, L10, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 133 clinicians in this Medicare group
NPI 1437105905 (631) 444-8125
Family Service League, Inc.
15 mi
Community/Behavioral Health
790 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1528093242 (631) 427-3700

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 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Thomas Hicks's NPI number?

The NPI number for Thomas Hicks is 1306684261. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Thomas Hicks located?

Thomas Hicks practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Thomas Hicks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thomas Hicks enrolled in Medicare?

Yes. Thomas Hicks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hicks reassigns Medicare benefits to 2 organizations: Stony Brook Psychiatric Associates, University Faculty Practice Corpor (Stony Brook, NY) and Family Service League, Inc. (Huntington, NY). Each 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 Thomas Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Hicks was last updated on July 24, 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.