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PATRICK TICMAN MD
NPI 1306935473
Internal Medicine in Las Vegas, NV

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 737-1880(702) 650-2458 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Jun 28, 2018, Jan 17, 2017 (3 updates tracked since 2017).

About Patrick Ticman Md NPPES

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

PATRICK TICMAN MD (NPI 1306935473) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (12055) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1306935473
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePATRICK TICMANCredential: MD
Location Address4475 S EASTERN AVELas Vegas, NV 89119
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Phone(702) 737-1880
Fax(702) 650-2458
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1306935473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 12055
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4475 S EASTERN AVE, Las Vegas, NV 89119
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Other Identifiers 3

Medicaid100511025NV
Medicaid100511024NV
Medicaid1306935473NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Ticman Md 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 ID3779584602
PECOS Enrollment IDI20070119000426
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 Patrick Ticman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Medical Associates, Inc
4.7 mi
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 406 clinicians in this Medicare group
NPI 1659346005 (702) 877-8600
Optum Medical Group II Rhodes P C
10 mi
Internal Medicine
2704 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 608 clinicians in this Medicare group
NPI 1790329407 (702) 877-5199

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

Areas of Expertise CMS Part B claims

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.
144 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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 suppliers17 claims17 services$63.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACOB SKINNER M.D.
Obstetrics & Gynecology
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 737-1880
JACOB A PARKS PA
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
DR. RIONA ORDINADO FUJINAGA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Clark County (702) 669-5947
KWEKU R HUTCHFUL MD
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5944
CONCEPCION REYES SINGSON MD
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 669-5811
PAULINE MARIE HEUSER PA-C
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199
SHEEBA SAJI KUREEKATTIL APRN
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5119
IAN WENG LAM
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (702) 877-5199

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 Patrick Ticman's NPI number?

The NPI number for Patrick Ticman is 1306935473. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Patrick Ticman located?

Patrick Ticman practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 737-1880.

What is Patrick Ticman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick Ticman enrolled in Medicare?

Yes. Patrick Ticman 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.

Which organizations bill Medicare for Patrick Ticman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Ticman reassigns Medicare benefits to 2 organizations: Southwest Medical Associates, Inc (Las Vegas, NV) and Optum Medical Group II Rhodes P C (Las Vegas, NV). 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 Patrick Ticman'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 Patrick Ticman was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.