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THOMAS RANDAL HICKS DMD
NPI 1922168335
Dentist - General Practice in Portland, OR

Active since December 08, 2006Opted out of Medicare · through Dec 10, 2027
13305 NW CORNELL RD STE A, PORTLAND, OR 97229(503) 644-5433(503) 644-5436 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Thomas Randal Hicks Dmd NPPES

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

THOMAS RANDAL HICKS DMD (NPI 1922168335) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D7362) and active in the NPI registry since December 2006. He has opted out of Medicare through December 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922168335
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHOMAS RANDAL HICKSCredential: DMD
Location Address13305 NW CORNELL RD STE APortland, OR 97229-5987
Mailing Address13305 Nw Cornell Rd Ste APortland, OR 97229-5987 · (503) 644-5433 · Fax (503) 644-5436
Phone(503) 644-5433
Fax(503) 644-5436
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 4, 2023
NPPES CertifiedFebruary 4, 2023
✔ NPI 1922168335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D7362
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13305 NW CORNELL RD STE A, Portland, OR 97229
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Other Names 1

Professional Name (2)Dr. Thomas Randal Hicks Dmd

Other Identifiers 1

Medicaid1922168335OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas Randal Hicks Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 10, 2015 through December 10, 2027.

Opt-Out Effective DateDecember 10, 2015
Opt-Out In Effect ThroughDecember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97229 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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 Thomas Hicks's NPI number?

The NPI number for Thomas Hicks is 1922168335. It was assigned to this individual provider in the NPPES registry on December 8, 2006. The provider is also known as Dr. Thomas Randal Hicks Dmd.

Where is Thomas Hicks located?

Thomas Hicks practices at 13305 NW Cornell Rd Ste A, Portland, OR 97229. The listed phone number is (503) 644-5433.

What is Thomas Hicks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Hicks enrolled in Medicare?

No. Thomas Hicks has opted out of Medicare through December 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Hicks accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 6 other insurers list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Hicks was last updated on February 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.