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GAVIN WILLIAM HICKEY MD
NPI 1396939328
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Pittsburgh, PA

Active since September 03, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PITTSBURGH, PA 15213(412) 647-2345 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Nov 15, 2018 (2 updates tracked since 2018).

About Gavin William Hickey Md NPPES

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

GAVIN WILLIAM HICKEY MD (NPI 1396939328) is an individual advanced heart failure and transplant cardiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD436803) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2006).

NPPES Registry Identity

NPI1396939328
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameGAVIN WILLIAM HICKEYCredential: MD
Location AddressUPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5BPittsburgh, PA 15213-2536
Mailing AddressUpmc Heart And Vascular Institute, 200 Lothrop StreetPittsburgh, PA 15213
Phone(412) 647-2345
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2006
Enumeration DateSeptember 3, 2007
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1396939328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in PA · MD436803
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
UPMC HEART AND VASCULAR INSTITUTE, Pittsburgh, PA 15213
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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

Gavin William Hickey 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 ID244428787
PECOS Enrollment IDI20101227000840
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 8

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
607 services21 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.
124 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services55 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
59 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 12

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers35 claims112 services$18.40 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
4 suppliers30 claims561 services$35.80 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
1 supplier20 claims20 services$104.18 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Injection, epoprostenol, 0.5 mg J1325
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier18 claims4,293 services$12.55 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers72 claims7,830 services$0.30 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 3

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

ASHLEY LEE
Internal Medicine (Interventional Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH
PITTSBURGH, PA 15213
Allegheny County (412) 647-6000
CATALIN TOMA
Internal Medicine (Interventional Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH
PITTSBURGH, PA 15213
Allegheny County (412) 647-6000
JOHN PACELLA MD
Internal Medicine (Cardiovascular Disease)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP ST WING 5B
PITTSBURGH, PA 15213
Allegheny County (412) 647-3087

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 Gavin Hickey's NPI number?

The NPI number for Gavin Hickey is 1396939328. It was assigned to this individual provider in the NPPES registry on September 3, 2007.

Where is Gavin Hickey located?

Gavin Hickey practices at Upmc Heart And Vascular Institute 200 Lothrop Street, 5B, Pittsburgh, PA 15213. The listed phone number is (412) 647-2345.

What is Gavin Hickey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Gavin Hickey enrolled in Medicare?

Yes. Gavin Hickey 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.

Is Gavin Hickey affiliated with any hospitals?

According to CMS data, Gavin Hickey is affiliated with Upmc Altoona, Upmc St Margaret, Upmc Passavant, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Gavin Hickey was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.