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DR. KARIN HICKEY MD
NPI 1649591645
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denver, CO

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
100 COOK ST STE 408, DENVER, CO 80206(720) 516-9406(720) 516-9434 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 20, 2026, Jun 23, 2023, Apr 5, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Karin Hickey Md NPPES

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

DR. KARIN HICKEY MD (NPI 1649591645) is an individual endocrinology, diabetes & metabolism provider in Denver, Colorado, licensed in Colorado (DR.0066229) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1649591645
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KARIN HICKEYCredential: MD
Location Address100 COOK ST STE 408Denver, CO 80206-5340
Mailing Address100 Cook St Ste 408Denver, CO 80206-5340 · (720) 516-9406 · Fax (720) 516-9434
Phone(720) 516-9406
Fax(720) 516-9434
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 14, 2010
Last NPPES UpdateMarch 20, 20265 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1649591645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CO · DR.0066229
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
100 COOK ST STE 408, Denver, CO 80206
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Karin Sterl Md

Other Identifiers 1

MedicaidENROLLEDIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Karin Hickey Md 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 ID9638300445
PECOS Enrollment IDI20210503000106
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 6

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.

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.
605 services375 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
250 services136 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
197 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
118 services118 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers31 claims87 services$6.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers262 claims262 services$187.28 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers22 claims22 services$191.04 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 3

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

DR. REBECCA E GORDON M.D.
Internal Medicine (Rheumatology)
100 COOK ST STE 408
DENVER, CO 80206
Denver County (720) 516-9424
DR. VICTORIA A SELIGMAN MD
Internal Medicine (Rheumatology)
100 COOK ST STE 408
DENVER, CO 80206
Denver County (720) 516-9424
HUNTER HOBBS STONE
Internal Medicine (Rheumatology)
100 COOK ST STE 408
DENVER, CO 80206
Denver County (720) 516-9424

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 Karin Hickey's NPI number?

The NPI number for Karin Hickey is 1649591645. It was assigned to this individual provider in the NPPES registry on June 14, 2010. The provider is also known as Dr. Karin Sterl MD.

Where is Karin Hickey located?

Karin Hickey practices at 100 Cook St Ste 408, Denver, CO 80206. The listed phone number is (720) 516-9406.

What is Karin Hickey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Karin Hickey enrolled in Medicare?

Yes. Karin Hickey 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 Karin Hickey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Karin 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.

When was this NPI record last updated?

The NPPES record for Karin Hickey was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.