Physician Profile
John P. Hickey, MD practices internal medicine in Lenox, MA. John is a 1998 graduate of State University of New York at Stony Brook, School of Medicine. Medicare claims data shows John provided 406 services to 375 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
55 PITTSFIELD RD
Lenox, MA 01240
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Infectious disease
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
Most searched procedures
Preventive and evaluation
Screening and diagnostic testing
Bones & Joints
Brain and nerves
Cancer screening
Digestive
Exams & Consultations
Heart & Circulation
Heart health
Imaging referral
Immunizations
Lab tests
Lungs & Breathing
Metabolic & Weight
Minor procedures
Office procedures
Office Procedures
Pain management
Preventive & Routine Care
Screenings & Diagnostics
Sexual health
406 services · 375 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
140 | As often as other peers in Internal Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
120 | As often as other peers in Internal Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
78 | As often as other peers in Internal Medicine |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
30 | As often as other peers in Internal Medicine |
| Telephone medical discussion with physician, 11-20 minutes | Office visit | 99442 |
14 | |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
13 | |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Billing code | G0438 |
11 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Hickey is an internist in Lenox, MA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Dr. Hickey is listed at 55 Pittsfield Rd, Lenox, MA 01240. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (413) 344-1700. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Hickey's National Provider Identifier is 1649217423. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Hickey attended State University of New York at Stony Brook, School of Medicine, graduating in 1998. This comes from the CMS National Downloadable File.
CMS public data
Dr. Hickey has 28 years experience. Calculated from a graduation year of 1998, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Hickey the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Hickey. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.