TODD L HICKS MD
NPI 1326054073
Surgery - Plastic and Reconstructive Surgery in Dayton, OH

Q: What is Todd Hicks's NPI number?

The NPI number for Todd Hicks is 1326054073. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Todd Hicks's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Todd Hicks was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

76.79/100

CMS Quality Rating

580 LINCOLN PARK BLVD, STE 300, DAYTON, OH 45429(937) 396-8001(937) 396-8003 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Todd L Hicks Md NPPES

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

TODD L HICKS MD (NPI 1326054073) is an individual plastic and reconstructive surgery provider in Dayton, Ohio, licensed in Ohio (35.085868) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Js Weill Medical College, Cornell University (2001).

NPPES Registry Identity

NPI1326054073

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameTODD L HICKSCredential: MD

Location Address580 LINCOLN PARK BLVD, STE 300Dayton, OH 45429-3474

Mailing Address2300 Miami Valley Dr, Ste 380Centerville, OH 45459-1294 · (937) 396-8001 · Fax (937) 396-8003

Phone(937) 396-8001

Fax(937) 396-8003

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2001

Enumeration DateAugust 1, 2006

Last NPPES UpdateOctober 4, 2019

✔ NPI 1326054073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in OH · 35.085868

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedSurgeryTaxonomy 208600000X · License 35-08-5868 (OH)

580 LINCOLN PARK BLVD, Dayton, OH 45429

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Other Identifiers 1

Medicaid2665174OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Todd L Hicks 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 ID2567468218

PECOS Enrollment IDI20061019000664

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 16

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

202 services202 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.

107 services91 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

87 services69 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

69 services67 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

63 services47 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

52 services50 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

40 services39 patients

Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less 13122

This procedure involves the complex repair of a wound on the scalp, arms, or legs. It's more intricate than a regular wound repair, often involving layered sutures, debridement, and tissue rearrangement. The service covers each additional wound up to 5.0 cm in length.

31 services25 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11641

This procedure involves the careful removal of a small cancerous growth on the face, ears, eyelids, nose, lips, or mouth. It's a precise operation performed by a specialist to ensure complete removal of the cancer while preserving healthy tissue.

29 services25 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

25 services23 patients

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 11622

This procedure involves the careful removal of a cancerous skin growth measuring between 1.1 to 2.0 cm, located on the scalp, neck, hands, or feet. The goal is to eliminate the cancer and prevent its spread. This is done under local anesthesia to minimize discomfort.

21 services21 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

20 services15 patients

Complicated repair of wound of trunk, each additional 5.0 cm or less 13102

This procedure involves the complex repair of a wound located on the body's trunk. It's performed for each additional wound up to 5.0 cm in size. The process includes cleaning, stitching, and dressing the wound to promote healing and prevent infections.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

17 services16 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

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.

76.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.65

Promoting Interoperability

100

Improvement Activities

Cost

57.98

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

32%101 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

51%149 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

38%167 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

44%68 patients2/55-star benchmark: 98%

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.

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Other Providers at the Same Location NPPES 13

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

INTERVENTIONAL PATHOLOGY OF OHIO LLC

Pathology (Anatomic Pathology & Clinical Pathology)

580 LINCOLN PARK BLVD, 344
KETTERING, OH 45429

Montgomery County (937) 825-0274

RON MICHAEL JOHNSON MD

Surgery (Plastic and Reconstructive Surgery)

580 LINCOLN PARK BLVD, SUITE 255
KETTERING, OH 45429

Montgomery County (937) 949-8457

HANS ZWART, M.D. AND ASSOCIATES, INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429

Montgomery County (937) 297-6800

MICHAEL T LA NOU PA

Physician Assistant

580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429

Montgomery County (937) 297-6800

MR. DOUGLAS TIDWELL CCP

Perfusionist

580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429

Montgomery County (937) 297-6800

MR. AARON JOSEPH SIEFKER CCP

Perfusionist

580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429

Montgomery County (937) 297-6800

PREMIER HEALTH SPECIALISTS INC

Surgery (Plastic and Reconstructive Surgery)

580 LINCOLN PARK BLVD, SUITE 300
KETTERING, OH 45429

Montgomery County (937) 396-8001

MS. SHARON HALTER CCP

Perfusionist

580 LINCOLN PARK BLVD, SUITE 322
KETTERING, OH 45429

Montgomery County (937) 297-6800

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 Todd Hicks's NPI number?

The NPI number for Todd Hicks is 1326054073. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Todd Hicks located?

Todd Hicks practices at 580 Lincoln Park Blvd Ste 300, Dayton, OH 45429. The listed phone number is (937) 396-8001.

What is Todd Hicks's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Todd Hicks enrolled in Medicare?

Yes. Todd Hicks 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 Todd Hicks accept?

Health plans from CareSource and MedMutual list Todd Hicks 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 Todd Hicks affiliated with any hospitals?

According to CMS data, Todd Hicks is affiliated with Miami Valley Hospital and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Todd Hicks was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.