NPI Details
Martha A Hickmann, MD is a procedural dermatology dermatology in Dayton, OH with 39 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Martha A Hickmann, MD NPI is 1437147030. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987
The provider's business location address is:
3025 GOVERNORS PLACE BLVD
DAYTON, OH
ZIP 45409
Phone: (937) 293-5567
Fax: (937) 293-5568
The NPI 1437147030 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.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
- Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
- Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
- Punch biopsy, first skin growth (HCPCS:11104)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 10/10/2005 and was last updated on 4/19/2011.
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:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207NS0135X | Dermatology | Procedural Dermatology | 35-06-0161 | OHIO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 2088646 | MEDICAID | OHIO | |
| 2 | E66423 | MEDICARE UPIN | | |
