JEREMY LICKTEIG
NPI 1366016610
Family Medicine in Kingman, KS

Q: What is Jeremy Lickteig's NPI number?

The NPI number for Jeremy Lickteig is 1366016610. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Q: What is Jeremy Lickteig's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Lickteig was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment

86.03/100

CMS Quality Rating

750 W D AVE, KINGMAN, KS 67068(620) 532-3147(855) 483-0002 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, May 19, 2021 (2 updates tracked since 2021).

On this page

About Jeremy Lickteig NPPES

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

JEREMY LICKTEIG (NPI 1366016610) is an individual family medicine provider in Kingman, Kansas, licensed in Kansas (94-10493) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Kingman Healthcare Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366016610

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEREMY LICKTEIG

Location Address750 W D AVEKingman, KS 67068-1266

Mailing Address750 W D AveKingman, KS 67068-1266 · (620) 532-3147

Phone(620) 532-3147

Fax(855) 483-0002

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 19, 2021

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1366016610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-10493

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 W D AVE, Kingman, KS 67068

Open in Google Maps ↗

Other Identifiers 1

Medicaid30004752260002KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Jeremy Lickteig 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 ID3173927399

PECOS Enrollment IDI20230707001580

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.

Hospital Affiliations CMS Care Compare

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

Kingman Healthcare Center

Critical Access Hospitals · Kingman, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171378

Location750 W Ave DKingman, KS 67068 · Kingman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67068 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

86.03/100

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

Scored as part of a group practice

Quality

75.15

Promoting Interoperability

Improvement Activities

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.

KATHLEEN S PRILLIMAN A.R.N.P.

Nurse Practitioner

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-3147

DR. ROCHELLE DAWN HARDEN AU.D.

Audiologist

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 491-1521

KATHLEEN L SMITH ARNP

Nurse Practitioner (Family)

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

TYLER J ANTENEN P.A.-C

Physician Assistant

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

JOSEPH GERBER MD

Family Medicine

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

JESSICA BLACKWILL APRN

Nurse Practitioner (Family)

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

CHERIE LOUISE MORRIS MD

Family Medicine

750 W D AVE
KINGMAN, KS 67068

Kingman County (620) 532-0295

DR. CHRISTOPHER HENRY SURTMAN DPM

Podiatrist

750 W D AVE
KINGMAN, KS 67068

Kingman County (405) 249-2351

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 Jeremy Lickteig's NPI number?

The NPI number for Jeremy Lickteig is 1366016610. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Jeremy Lickteig located?

Jeremy Lickteig practices at 750 W D Ave, Kingman, KS 67068. The listed phone number is (620) 532-3147.

What is Jeremy Lickteig's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeremy Lickteig enrolled in Medicare?

Yes. Jeremy Lickteig 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 Jeremy Lickteig accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Jeremy Lickteig 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 Jeremy Lickteig affiliated with any hospitals?

According to CMS data, Jeremy Lickteig is affiliated with Kingman Healthcare Center.

When was this NPI record last updated?

The NPPES record for Jeremy Lickteig was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.