DR. CARL A HICKS MD
NPI 1821100827
Orthopaedic Surgery in Sugar Land, TX

Q: What is Carl Hicks's NPI number?

The NPI number for Carl Hicks is 1821100827. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Carl Hicks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Hicks was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

16811 SOUTHWEST FWY, SUGAR LAND, TX 77479(281) 690-4678 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Carl A Hicks Md NPPES

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

DR. CARL A HICKS MD (NPI 1821100827) is an individual orthopaedic surgery provider in Sugar Land, Texas, licensed in Texas (H3576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1986).

NPPES Registry Identity

NPI1821100827

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CARL A HICKSCredential: MD

Location Address16811 SOUTHWEST FWYSugar Land, TX 77479-4728

Mailing Address16811 Southwest FwySugar Land, TX 77479-4728 · (281) 690-4678

Phone(281) 690-4678

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1986

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 30, 2016

✔ NPI 1821100827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · H3576

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

16811 SOUTHWEST FWY, Sugar Land, TX 77479

Open in Google Maps ↗

Other Identifiers 19

Medicaid104542903TX

Medicare PIN8L7021TX

OtherP00732733TX · Railroad Medicare

Other610119705TX · Us Dept Of Labor

Medicaid104542905TX

Medicare PIN8L9966TX

Medicare PINTXB151318TX

Other8BP178TX · Blue Cross Blue Shield

OtherP01055718TX · Rr Medicare

Medicaid104542908TX

Medicare PIN501678ZSVETX

Other687360TX · Aetna

Medicare UPINF80283

Medicaid104542901TX

Medicare PIN852410TX

Medicare PIN501678ZSWDTX

Medicaid104542906TX

Medicaid104542904TX

Medicare PINTXB151319TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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. Carl A Hicks 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 ID547178824

PECOS Enrollment IDI20031229000159

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 15

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.

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

326 services242 patients

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.

270 services244 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.

263 services192 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

248 services212 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.

161 services161 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

68 services65 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

51 services47 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

39 services39 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

39 services28 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

32 services12 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

31 services29 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

30 services28 patients

X-ray of pelvis, minimum of 3 views 72190

An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers43 claims43 services$46.78 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers27 claims27 services$52.79 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 18

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

MEAGHAN SHANNON

Specialist/Technologist (Athletic Trainer)

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 609-7547

CHRISTINA M PLACKER PA-C

Physician Assistant

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4678

TIMOTHY CHRISTIAN SITTER MD

Orthopaedic Surgery (Sports Medicine)

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4678

ASHKAN JAVAHERI PA-C

Physician Assistant (Surgical)

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4675

DR. VINCENT C PHAN

Orthopaedic Surgery (Hand Surgery)

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4678

ELTON CHEN D.O.

Internal Medicine (Critical Care Medicine)

16811 SOUTHWEST FWY, SUITE 300
SUGAR LAND, TX 77479

Fort Bend County (281) 274-8050

DR. ASHVIN KUMAR DEWAN MD

Orthopaedic Surgery (Sports Medicine)

16811 SOUTHWEST FWY, 2ND FLOOR
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4678

DR. DONALD DEAN DOMINY III M.D.

Orthopaedic Surgery (Hand Surgery)

16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Fort Bend County (281) 690-4678

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 Carl Hicks's NPI number?

The NPI number for Carl Hicks is 1821100827. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Carl Hicks located?

Carl Hicks practices at 16811 Southwest Fwy, Sugar Land, TX 77479. The listed phone number is (281) 690-4678.

What is Carl Hicks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carl Hicks enrolled in Medicare?

Yes. Carl Hicks 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 Carl Hicks accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Carl Hicks 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 Carl Hicks affiliated with any hospitals?

According to CMS data, Carl Hicks is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Carl Hicks was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.