1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Dermatology
  6. NPI Profile

KELLY MCCABE BICKLE MD
NPI 1417926726
Dermatology in Lakeland, FL

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
1755 N. FLORIDA AVENUE, LAKELAND, FL 33805(863) 904-6200(863) 904-6280 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Mccabe Bickle Md NPPES

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

KELLY MCCABE BICKLE MD (NPI 1417926726) is an individual dermatology provider in Lakeland, Florida, licensed in Florida (ME90648) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2000).

NPPES Registry Identity

NPI1417926726
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKELLY MCCABE BICKLECredential: MD
Location Address1755 N. FLORIDA AVENUELakeland, FL 33805-3109
Mailing AddressPo Box 95004Lakeland, FL 33804-5004 · (863) 680-7000 · Fax (863) 680-7420
Phone(863) 904-6200
Fax(863) 904-6280
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2000
Enumeration DateMarch 17, 2006
Last NPPES UpdateJune 1, 2010
✔ NPI 1417926726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME90648
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License ME90648 (FL)
1755 N. FLORIDA AVENUE, Lakeland, FL 33805
Open in Google Maps ↗

Other Identifiers 4

Medicaid000758500FL
Medicare PIN52088XFL
Medicare UPINI24036FL
Medicare PIN52088FL

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

Kelly Mccabe Bickle 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 ID2961452339
PECOS Enrollment IDI20071019000476
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 Kelly Bickle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adam M. Rotunda, M.D., A Professional Corporation
2,157 mi
MOHS-Micrographic Surgery
1100 QUAIL ST STE 102
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Adam M Rotunda MD A Professional Corporation
  • 2 clinicians in this Medicare group
NPI 1700035946 (949) 336-7171
Kelly Bickle MD Inc
2,194 mi
Dermatopathology
1244 7TH ST STE 204
Santa Monica, CA 90401
  • Reassigned Medicare billing, California enrollment
NPI 1255845657 (310) 878-4590

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 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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
194 services27 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.
63 services38 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
54 services38 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.
44 services32 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
26 services18 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.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MARY BETH ULMER CST
1755 N. FLORIDA AVENUE, BELLA VISTA BLDG.
LAKELAND, FL 33805
Polk County (863) 904-6200
KATHERINE CARTWRIGHT PAFUNDA AU.D.
Audiologist
1755 N. FLORIDA AVENUE
LAKELAND, FL 33805
Polk County (863) 904-6200
MS. LISA KORIN PA
Physician Assistant
1755 N. FLORIDA AVENUE
LAKELAND, FL 33805
Polk County (863) 904-6201
DR. JEFFREY ALAN PAFFRATH MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1755 N. FLORIDA AVENUE
LAKELAND, FL 33805
Polk County (863) 680-7486

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 Kelly Bickle's NPI number?

The NPI number for Kelly Bickle is 1417926726. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Kelly Bickle located?

Kelly Bickle practices at 1755 N. Florida Avenue, Lakeland, FL 33805. The listed phone number is (863) 904-6200.

What is Kelly Bickle's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kelly Bickle enrolled in Medicare?

Yes. Kelly Bickle 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 Kelly Bickle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bickle reassigns Medicare benefits to 2 organizations: Adam M. Rotunda, M.D., A Professional Corporation (Newport Beach, CA) and Kelly Bickle MD Inc (Santa Monica, CA). 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 Kelly Bickle'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 Kelly Bickle was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.