DR. DOUGLAS L JICHA MD NPI 1306879325

NPI Details

DR. Douglas L Jicha, MD is a vascular surgery surgery in Scarborough, ME. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Douglas L Jicha, MD NPI is 1306879325. 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:

306 US ROUTE 1
BLDG C
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 885-5742
Fax: (207) 885-1494

The NPI 1306879325 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.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Complete ultrasound study of arm and leg arteries (HCPCS:93923)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Review by radiologist of arm or leg artery image (HCPCS:75710)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• Review by radiologist of abdominal aorta image (HCPCS:75625)
• Ultrasound study of arm and leg arteries (HCPCS:93922)
• Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch (HCPCS:36246)
• Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Insertion of tube into aorta (HCPCS:36200)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/3/2021.

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:

Other Identifiers

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