CHRISTOPHER B TICKNOR MD
NPI 1487733556
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Active since November 02, 2006Opted out of Medicare · through Dec 8, 2027
1202 E SONTERRA BLVD, #202, SAN ANTONIO, TX 78258(210) 692-7775(210) 615-6966 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christopher B Ticknor Md NPPES

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

CHRISTOPHER B TICKNOR MD (NPI 1487733556) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (G3857) and active in the NPI registry since November 2006. He has opted out of Medicare through December 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487733556
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCHRISTOPHER B TICKNORCredential: MD
Location Address1202 E SONTERRA BLVD, #202San Antonio, TX 78258-4089
Mailing Address1202 E Sonterra Blvd, #202San Antonio, TX 78258 · (210) 692-7775 · Fax (210) 615-6966
Fax(210) 615-6966
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487733556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in TX · G3857
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1202 E SONTERRA BLVD, San Antonio, TX 78258

Other Identifiers 2

Medicare UPINE07910
Medicare ID-Type Unspecified00JX56

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Christopher B Ticknor Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2013 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2013
Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

Specialist
1202 E SONTERRA BLVD, SUITE 303
SAN ANTONIO, TX 78258
Nutritionist
1202 E SONTERRA BLVD, STE 601
SAN ANTONIO, TX 78258
Dentist (General Practice)
1202 E SONTERRA BLVD, SUITE 402
SAN ANTONIO, TX 78258
Specialist/Technologist (Athletic Trainer)
1202 E SONTERRA BLVD, SUITE 601
SAN ANTONIO, TX 78258
Clinic/Center (Primary Care)
1202 E SONTERRA BLVD, SUITE 201
SAN ANTONIO, TX 78258
Dietitian, Registered
1202 E SONTERRA BLVD, STE 601
SAN ANTONIO, TX 78258
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1202 E SONTERRA BLVD, STE 302
SAN ANTONIO, TX 78258
Physician Assistant
1202 E SONTERRA BLVD, STE 601
SAN ANTONIO, TX 78258

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 Christopher Ticknor's NPI number?

The NPI number for Christopher Ticknor is 1487733556. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Christopher Ticknor located?

Christopher Ticknor practices at 1202 E Sonterra Blvd #202, San Antonio, TX 78258. The listed phone number is (210) 692-7775.

What is Christopher Ticknor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Christopher Ticknor enrolled in Medicare?

No. Christopher Ticknor has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Christopher Ticknor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.