DAVID R FICKLEN
NPI 1356347603
Internal Medicine in Huntsville, TX

Q: What is David Ficklen's NPI number?

The NPI number for David Ficklen is 1356347603. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is David Ficklen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Ficklen was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

102 MEDICAL PARK LN STE A, HUNTSVILLE, TX 77340(936) 435-0014(936) 435-9108 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About David R Ficklen NPPES

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

DAVID R FICKLEN (NPI 1356347603) is an individual internal medicine provider in Huntsville, Texas, licensed in Texas (K5929) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1995).

NPPES Registry Identity

NPI1356347603

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDAVID R FICKLEN

Location Address102 MEDICAL PARK LN STE AHuntsville, TX 77340-4975

Mailing Address102 Medical Park Ln Ste AHuntsville, TX 77340-4975 · (936) 435-0014 · Fax (936) 435-9108

Phone(936) 435-0014

Fax(936) 435-9108

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1995

Enumeration DateJune 22, 2005

Last NPPES UpdateMay 18, 2011

✔ NPI 1356347603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · K5929

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.

102 MEDICAL PARK LN STE A, Huntsville, TX 77340

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Other Identifiers 5

Other8M5490Bcbs

Medicare ID-Type Unspecified00376Q

Medicare UPING68132

Medicare ID-Type Unspecified8B6181TX

Medicaid047959403TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

David R Ficklen 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 ID2264429679

PECOS Enrollment IDI20040428000646

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

Medicare enrollment records show David Ficklen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph Regional Health Center

47 mi

Family Medicine

2801 FRANCISCAN DR
Bryan, TX 77802

Reassigned Medicare billing, Texas enrollment
141 clinicians in this Medicare group

NPI 1669557179 (979) 776-2426

Hospitalist Medicine Physicians Of Texas, PLLC

51 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Ess Of South Texas LLC

63 mi

Emergency Medicine

1353 N TRAVIS ST
Liberty, TX 77575

Reassigned Medicare billing, Texas enrollment
199 clinicians in this Medicare group

NPI 1295128247 (936) 336-7316

Lone Star Integrated Acute Care Of East Texas PLLC

83 mi

Internal Medicine

1204 N MOUND ST
Nacogdoches, TX 75961

Reassigned Medicare billing, Texas enrollment
41 clinicians in this Medicare group

NPI 1669306890 (936) 564-4611

Cogent Healthcare Of Texas, PA

166 mi

Internal Medicine

8200 WALNUT HILL LN
Dallas, TX 75231

Reassigned Medicare billing, Texas enrollment
1,208 clinicians in this Medicare group

NPI 1992722953 (214) 345-7585

Concord Medical Group PLLC

419 mi

Emergency Medicine

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Texas enrollment
1,338 clinicians in this Medicare group

NPI 1083630610 (888) 264-0330

Apogee Medical Group Texas PA

979 mi

Internal Medicine

15059 N SCOTTSDALE, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Texas enrollment
163 clinicians in this Medicare group

NPI 1558318071 (602) 778-3600

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

328 services149 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

131 services125 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

99 services49 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.

29 services28 patients

Hospital Affiliations CMS Care Compare

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450011

Location2801 Franciscan DrBryan, TX 77802 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77340 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

98%172 patients4/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers34 claims34 services$17.61 avg. paid by Medicare

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

4 suppliers38 claims38 services$90.62 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 5

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

AMY EVA RAIN APRN, FNP-C

Nurse Practitioner (Family)