TESS M. HICKEY MD
NPI 1629771365
Hospitalist in Salt Lake City, UT
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, is affiliated with Mountain West Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tess M. Hickey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tess Hickey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Tooele, UT 84074
- Reassigned Medicare billing, Utah enrollment
- 98 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain West Medical Center
Acute Care Hospitals · Tooele, UTPhysician 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.
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.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 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.
Where is Tess Hickey located?
Tess Hickey practices at Helix 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.
What is Tess Hickey's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Tess Hickey enrolled in Medicare?
Yes. Tess Hickey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tess Hickey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tess Hickey reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Tooele Clinic Corp (Tooele, UT). 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 Tess Hickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tess Hickey accept?
Health plans from Select Health and University of Utah Health Plans list Tess 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 Tess Hickey affiliated with any hospitals?
According to CMS data, Tess Hickey is affiliated with Mountain West Medical Center.
When was this NPI record last updated?
The NPPES record for Tess Hickey was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Tess M. Hickey, MD · NPI 1629771365
Hospitalist physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1629771365 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 14137411-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** HELIX 30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT); Tooele Clinic Corp (NPI 1073512364, Tooele, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1629771365) · Data from the CMS NPPES public registry.