JEFFERSON LEWIS HICKS PA NPI 1083013064

NPI Details

Jefferson Lewis Hicks, PA is a surgical physician assistant in Lone Tree, CO with 12 years of experience. Jefferson Lewis Hicks, PA NPI is 1083013064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10103 RIDGEGATE PKWY STE 306
LONE TREE, CO
ZIP 80124-525
Phone: (303) 225-8120
Fax: (303) 225-8130

The NPI 1083013064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• Fusion of additional segment of spine with partial removal of spine bone and disc (HCPCS:22634)
• Fusion of additional segment of spine (HCPCS:22614)
• Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63053)
• Reinsertion of spinal fixation device (HCPCS:22849)
• Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
• Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
• Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
• Insertion of instrumentation to pelvic bones (HCPCS:22848)
• Spinal fusion (HCPCS:NAN02)
• Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 8/15/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: