TESS M. HICKEY MD
NPI 1629771365
Hospitalist in Salt Lake City, UT

Q: What is Tess Hickey's NPI number?

The NPI number for Tess Hickey is 1629771365. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Tess Hickey's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Tess Hickey was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2023PECOS Enrolled

HELIX 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

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

Record update history: Apr 3, 2026, Sep 19, 2024, Mar 22, 2023 (3 updates tracked since 2023).

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About Tess M. Hickey Md NPPES

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

TESS M. HICKEY MD (NPI 1629771365) is an individual hospitalist provider in Salt Lake City, Utah, licensed in Utah (14137411-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629771365

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameTESS M. HICKEYCredential: MD

Location AddressHELIX 30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112

Mailing AddressHelix 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateApril 3, 20263 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1629771365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in UT · 14137411-1205

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14137411-1205 (UT)

HELIX 30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tess M. Hickey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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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.

AUSTEN G. HERRON MD

Internal Medicine