TYSON HICKLE MD
NPI 1699193979
Emergency Medicine in Soldotna, AK

Q: What is Tyson Hickle's NPI number?

The NPI number for Tyson Hickle is 1699193979. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Tyson Hickle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Hickle was last updated on October 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment

79.22/100

CMS Quality Rating

250 HOSPITAL PL, SOLDOTNA, AK 99669(907) 714-4502(907) 714-4696 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Nov 2, 2021, Aug 13, 2018 (3 updates tracked since 2018).

On this page

About Tyson Hickle Md NPPES

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

TYSON HICKLE MD (NPI 1699193979) is an individual emergency medicine provider in Soldotna, Alaska, licensed in Washington (MD61440052) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of Creighton University School Of Medicine (2014).

NPPES Registry Identity

NPI1699193979

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTYSON HICKLECredential: MD

Location Address250 HOSPITAL PLSoldotna, AK 99669-7559

Mailing Address5955 Zeamer Ave # 673mdgJber, AK 99506-3702

Phone(907) 714-4502

Fax(907) 714-4696

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2014

Enumeration DateApril 3, 2014

Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1699193979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WA · MD61440052✔ Licensed in VA · 0116028145

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

250 HOSPITAL PL, Soldotna, AK 99669

Open in Google Maps ↗

Other Identifiers 1

Medicaid1699522AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Tyson Hickle 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 ID648586156

PECOS Enrollment IDI20240926002974

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

223 services215 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

205 services188 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

116 services115 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

37 services37 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

33 services33 patients

Hospital Affiliations CMS Care Compare

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380001

Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99669 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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.

79.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.14

Promoting Interoperability

Improvement Activities

Cost

47.11

Leave this field empty

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.

THERESA CHIHULY CRNA

Nurse Anesthetist, Certified Registered