DR. JAMES HICKEY DO
NPI 1902251440
Family Medicine in Duluth, MN
About Dr. James Hickey Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES HICKEY DO (NPI 1902251440) is an individual family medicine provider in Duluth, Minnesota, licensed in Georgia (110842) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Rocky Vista University College Of Osteopathic Med (2016).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Hickey Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Hickey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Superior, WI 54880
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Marys Hospital Of Superior
- 381 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Duluth
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 James Hickey's NPI number?
The NPI number for James Hickey is 1902251440. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is James Hickey located?
James Hickey practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is James Hickey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Hickey enrolled in Medicare?
Yes. James 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.
Which organizations bill Medicare for James Hickey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hickey reassigns Medicare benefits to 2 organizations: St. Mary's Hospital Of Superior (Superior, WI) and The Emory Clinic Inc (Atlanta, GA). 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 James Hickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Hickey accept?
Health plans from HealthPartners and Oscar Health list James 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 James Hickey affiliated with any hospitals?
According to CMS data, James Hickey is affiliated with Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for James Hickey was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. James Hickey, DO · NPI 1902251440
Family Medicine physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1902251440 (Entity type: Individual)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 110842 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): St. Mary's Hospital Of Superior (NPI 1083657886, Superior, WI); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2016
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902251440) · Data from the CMS NPPES public registry.