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GREGORY G HICKEY D.O.
NPI 1457391005
Internal Medicine - Pulmonary Disease in Cleveland, OH

Active since June 08, 2006PECOS Enrolled
91.24/100
CMS Quality Rating
30575 BAINBRIDGE RD STE 200, CLEVELAND, OH 44139(440) 542-5000(440) 542-5005 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Mar 3, 2026, Oct 8, 2025 (3 updates tracked since 2025).

About Gregory G Hickey D.o. NPPES

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

GREGORY G HICKEY D.O. (NPI 1457391005) is an individual pulmonary disease provider in Cleveland, Ohio, licensed in Ohio (34-003908) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1457391005
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGREGORY G HICKEYCredential: D.O.
Location Address30575 BAINBRIDGE RD STE 200Cleveland, OH 44139-2275
Mailing Address30575 Bainbridge Rd Ste 200Cleveland, OH 44139-2275 · (440) 542-5000 · Fax (440) 542-5005
Phone(440) 542-5000
Fax(440) 542-5005
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1457391005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 34-003908
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 003908 (OH)
30575 BAINBRIDGE RD STE 200, Cleveland, OH 44139
Open in Google Maps ↗

Secondary Practice Locations 4

Location 18401 Market StYoungstown, OH 44512-6725 · Phone (330) 729-4200 · Fax (330) 729-4249
Location 26707 Powers Blvd Ste 106Parma, OH 44129-5463 · Phone (440) 886-2509 · Fax (440) 886-2547
Location 3667 Eastland Ave SEWarren, OH 44484-4503 · Phone (330) 841-4034 · Fax (330) 841-4919
Location 41044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-3258 · Fax (330) 480-4119

Other Identifiers 2

Medicaid0841325OH
Other290008878OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory G Hickey D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103721972
PECOS Enrollment IDI20040702000845
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

9

Medicare enrollment records show Gregory Hickey reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
10 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
The Metrohealth System
13 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442
Chest Disease Associates, Inc.
14 mi
Pulmonary Disease
6707 POWERS BLVD STE 106
Parma, OH 44129
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1578378782 (440) 886-2509
Wrh Physicians, Inc.
16 mi
Urgent Care
3913 DARROW RD, SUITE 100
Stow, OH 44224
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
NPI 1295067940 (330) 688-7900
Community Intensivists, LLC
19 mi
Pulmonary Disease
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1992131742 (440) 816-8000
Hni Medical Services Of Ohio, LLC
19 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
North East Ohio Group Practice LLC
19 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Mercy Health Physicians Youngstown Specialty Care LLC
39 mi
Diagnostic Radiology
1932 NILES CORTLAND RD NE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1255009601 (330) 306-5300
North Coast Professional Company, LLC
65 mi
Internal Medicine
1912 HAYES AVE STE 1E
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 182 clinicians in this Medicare group
NPI 1881648210 (419) 557-5541

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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
615 services232 patients
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.
257 services144 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.
111 services75 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
106 services104 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
97 services95 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
91 services89 patients

Hospital Affiliations CMS Care Compare 3

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44139 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.48
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers26 claims26 services$921.12 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
2 suppliers29 claims29 services$61.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$30.71 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.

AMY LYNN WILLIAMS CNP
Nurse Practitioner (Acute Care)
30575 BAINBRIDGE RD STE 200
SOLON, OH 44139
Cuyahoga County (440) 542-5000
BRITTANY MARGARET FOLLMAN CNP
Nurse Practitioner (Primary Care)
30575 BAINBRIDGE RD STE 200
SOLON, OH 44139
Cuyahoga County (440) 542-5000
DR. NEIL PATEL D.O.
Internal Medicine
30575 BAINBRIDGE RD STE 200
SOLON, OH 44139
Cuyahoga County (440) 542-5000

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 Gregory Hickey's NPI number?

The NPI number for Gregory Hickey is 1457391005. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Gregory Hickey located?

Gregory Hickey practices at 30575 Bainbridge Rd Ste 200, Cleveland, OH 44139. The listed phone number is (440) 542-5000.

What is Gregory Hickey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gregory Hickey enrolled in Medicare?

Yes. Gregory Hickey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Hickey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Hickey reassigns Medicare benefits to 9 organizations: University Hospitals Medical Group Inc (Cleveland, OH), The Metrohealth System (Cleveland, OH), Chest Disease Associates, Inc. (Parma, OH), Wrh Physicians, Inc. (Stow, OH), Community Intensivists, LLC (Middleburg Heights, OH) and 4 more organizations, listed in the Medicare section above. 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 Gregory Hickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Hickey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Gregory Hickey 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 Gregory Hickey affiliated with any hospitals?

According to CMS data, Gregory Hickey is affiliated with Parma Community General Hospital, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Gregory Hickey was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.