JOHNNY D HICKSON III M.D.
NPI 1528295755
Urology in Oklahoma City, OK

Active since June 15, 2009PECOS EnrolledAccepts Medicare Assignment
75.12/100
CMS Quality Rating
11000 HEFNER POINTE DR, OKLAHOMA CITY, OK 73120(405) 749-9655(405) 749-1001 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnny D Hickson Iii M.d. NPPES

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

JOHNNY D HICKSON III M.D. (NPI 1528295755) is an individual urology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (30411) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2009).

NPPES Registry Identity

NPI1528295755
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHNNY D HICKSON IIICredential: M.D.
Location Address11000 HEFNER POINTE DROklahoma City, OK 73120-5039
Mailing Address11000 Hefner Pointe DrOklahoma City, OK 73120-5039 · (405) 749-9655 · Fax (405) 749-1001
Fax(405) 749-1001
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009
Enumeration DateJune 15, 2009
Last NPPES UpdateFebruary 3, 2015
NPI 1528295755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OK · 30411
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

11000 HEFNER POINTE DR, Oklahoma City, OK 73120

Accepted 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

Johnny D Hickson Iii M.d. 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 ID8921223801
PECOS Enrollment IDI20140709001051
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 37

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.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
4,797 services294 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
1,104 services293 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,080 services596 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.
765 services505 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
630 services13 patients
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653
A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.
380 services301 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Northwest Surgical Hospital

Acute Care Hospitals · Oklahoma City, OK
OwnershipPhysician
CMS Certification Number370192
Location9204 North May AvenueOklahoma City, OK 73120 · Oklahoma County
Emergency services

Community Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370203
Location3100 Southwest 89th StreetOklahoma City, OK 73159 · Oklahoma County
Emergency services

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370212
Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma County

Onecore Health

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370220
Location100 NE 85th StreetOklahoma City, OK 73114 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

75.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.37
Improvement Activities40
Cost40.59

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%726 patients5/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
81%1,896 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,871 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%1,803 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
76%1,682 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
81%1,682 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
100%68 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
1%1,682 patients1/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
1%108 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%277 patients5/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
76%54 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims690 services$1.60 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers14 claims1,156 services$5.28 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,980 services$6.67 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 14

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

Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Urology
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Physician Assistant
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120
Physician Assistant (Medical)
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK 73120

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 Johnny Hickson's NPI number?

The NPI number for Johnny Hickson is 1528295755. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Johnny Hickson located?

Johnny Hickson practices at 11000 Hefner Pointe Dr, Oklahoma City, OK 73120. The listed phone number is (405) 749-9655.

What is Johnny Hickson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Johnny Hickson enrolled in Medicare?

Yes. Johnny Hickson 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 Johnny Hickson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Johnny Hickson 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 Johnny Hickson affiliated with any hospitals?

According to CMS data, Johnny Hickson is affiliated with Integris Baptist Medical Center, Inc, Northwest Surgical Hospital, Community Hospital, LLC, Oklahoma Center For Orthopaedic & Multi-Sp and Onecore Health.

When was this NPI record last updated?

The NPPES record for Johnny Hickson was last updated on February 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.