M. JOHN HICKS M.D.
NPI 1578568531
Pathology - Anatomic Pathology & Clinical Pathology in Conroe, TX
NPI Status: Active since June 16, 2005
Contact Information
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
Phone: (713) 481-3544
Fax: (713) 432-0221
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- PECOS Enrolled
About M. HICKS
This page provides the complete NPI Profile along with additional information for M. Hicks, a provider established in Conroe, Texas with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1578568531 assigned on June 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number J1685 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1578568531
- Provider Name
- M. JOHN HICKS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 504 MEDICAL CENTER BLVD CONROE, TX 77304
- Location Phone
- (713) 481-3544
- Location Fax
- (713) 432-0221
- Mailing Address
- PO BOX 4677 HOUSTON, TX 77210
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2005
- Last Update Date
- 03-19-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- J1685
- License State
- TX
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F69426 | MEDICARE UPIN (02) | TX | |
| 81P068 | MEDICARE PIN (08) | TX | |
| 117408801 | MEDICAID (05) | TX | |
| 8D7294 | MEDICARE PIN (08) | TX |
Medicare Participation & PECOS Enrollment Status
M. Hicks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77304 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for M. JOHN HICKS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 6 | 8 | 5 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 6 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 6 + 1 + 6 + 5 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1578568531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. DAWNA LAVINA ARMSTRONG M.D.
Pathology
(Neuropathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
EUGENIO INIS BANEZ M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
YVE THALLER HUTTENBACH M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
DR. HALA EL-ZIMAITY M.D.
Pathology
(Anatomic Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
EMILIE ROUAH M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
ARMAND HARVEY MARTEL M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
JAMES R FLETES M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
MARY OSTROWSKI M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
JACQUELINE ELIZABETH MONHEIT M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
SYED FIAZ QUADRI M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
MICHELLE HEBERT M.D.
Pathology
(Hematology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
DAVID HOUSTON YAWN M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
LISA FOX COHEN M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
PETER ALLEN POWASER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
ANNE S. WITSON M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
THOMAS MICHAEL WHEELER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
DR. MARCIA ARLENE BARNES M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
AUNE K ALBANESE NP
Nurse Practitioner
(Critical Care Medicine)
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
JILL M BEATTY M.D.
Emergency Medicine
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
PAMELA T HAMMOND M.D.
Emergency Medicine
504 MEDICAL CENTER BLVD
CONROE, TX
ZIP 77304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578568531, enumerated as an "individual" on June 16, 2005.
The provider is located at 504 MEDICAL CENTER BLVD CONROE, TX 77304 and the phone number is (713) 481-3544.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
