MR. SERGIO HICKEY M.D.
NPI 1902143811
General Practice in Pittsburgh, PA

Active since January 11, 2013PECOS EnrolledAccepts Medicare Assignment
3471 FIFTH AVE, KAUFMANN BUILDING SUITE 910, PITTSBURGH, PA 15213(757) 953-0669 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Sergio Hickey M.d. NPPES

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

MR. SERGIO HICKEY M.D. (NPI 1902143811) is an individual general practice provider in Pittsburgh, Pennsylvania, licensed in Virginia (0101256741) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2013).

NPPES Registry Identity

NPI1902143811
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. SERGIO HICKEYCredential: M.D.
Location Address3471 FIFTH AVE, KAUFMANN BUILDING SUITE 910Pittsburgh, PA 15213
Mailing Address3600 Forbes Ave, Forbes Tower - Plaza Level Suite 140Pittsburgh, PA 15213 · (503) 396-1450
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2013
Enumeration DateJanuary 11, 2013
Last NPPES UpdateApril 25, 2018
NPI 1902143811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101256741
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3471 FIFTH AVE, Pittsburgh, PA 15213

Other Names 1

Former Name (1)Mr. Sergio Giraldo

Accepted 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

Mr. Sergio Hickey M.d. 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 ID7214292036
PECOS Enrollment IDI20220706001136
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.

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.
118 services55 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.
79 services44 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
27 services23 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.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Other Providers at the Same Location NPPES 16

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

Anesthesiology
3471 FIFTH AVE, KAUFMAN BUILDING SUITE 402
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3471 FIFTH AVE, KAUFMANN MEDICAL BLDG SUITE 1010
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3471 FIFTH AVE, SUITE 810
PITTSBURGH, PA 15213
Emergency Medicine
3471 FIFTH AVE, SUITE 402
PITTSBURGH, PA 15213
Anesthesiology
3471 FIFTH AVE, KAUFMANN BLDG 4TH FLR SUITE 402
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3471 FIFTH AVE, KAUFMANN BUILDING - 4TH FLOOR, SUITE 402
PITTSBURGH, PA 15213
Anesthesiology
3471 FIFTH AVE, KAUFMANN BLDG. SUITE 402
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
3471 FIFTH AVE, SUITE 402 (REGIONAL ANESTHESIOLOGY AND ACUTE PAIN MEDI
PITTSBURGH, PA 15213

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 Sergio Hickey's NPI number?

The NPI number for Sergio Hickey is 1902143811. It was assigned to this individual provider in the NPPES registry on January 11, 2013. The provider is also known as Mr. Sergio Giraldo.

Where is Sergio Hickey located?

Sergio Hickey practices at 3471 Fifth Ave Kaufmann Building Suite 910, Pittsburgh, PA 15213. The listed phone number is (757) 953-0669.

What is Sergio Hickey's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sergio Hickey enrolled in Medicare?

Yes. Sergio 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 Sergio Hickey accept?

Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Sergio 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 Sergio Hickey affiliated with any hospitals?

According to CMS data, Sergio Hickey is affiliated with Portneuf Medical Center and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Hickey was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.