Active NPI 1265488076 Individual Practitioner Male Practitioner

Dr. James B Hickey , MD

Internal Medicine • Danvers, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Hickey, MD is a certified Internal Medicine practicing in Danvers, MA. With approximately 38 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1988, Dr. Hickey delivers high-quality medical care to the local community at ONE HUTCHINSON DR.

Dr. Hickey is affiliated with Mass General Brigham Medical Group Northern Massachusetts Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine electrocardiogram (ecg) using at least 12 leads with tracing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

One Hutchinson Dr

Danvers, MA 01923

Telephone 9787396950

Fax 9787779274

Associated Practice Facility / Clinic

🏢 Catherine Hertl, M.d., P.c. Facility NPI 1336441344

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Danvers, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +11.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Danvers, MA (7127 Statewide)

Telehealth Adoption Rate

72.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hickey (38 Years) 38 Yrs

Danvers Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	412	289	$393.93	$90.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	175	$554.56	$128.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	190	$562.80	$131.16
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	68	61	$58.00	$6.51
G0008 Administration of influenza virus vaccine	51	51	$139.82	$32.81
90662 Influenza vaccine split virus, preservative free	48	48	$183.40	$81.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	25	$253.00	$54.34
83036 Hemoglobin A1C level	26	23	$74.00	$9.52
99496 Transitional care management services for problem of high complexity	24	23	$1214.50	$283.72
91320 Sarscv2 vac 30mcg trs-suc im	17	17	$276.29	$151.35
90480 Admn sarscov2 vacc 1 dose	17	17	$190.29	$43.76
81003 Automated urinalysis test	14	14	$18.00	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$717.07	$166.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$711.00	$166.37
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	12	11	$239.17	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	347	236	$386.56	$92.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	198	$544.25	$129.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$556.08	$131.85
G0008 Administration of influenza virus vaccine	52	52	$133.92	$33.84
90662 Influenza vaccine split virus, preservative free	48	48	$160.96	$71.79
93000 Routine ekg using at least 12 leads including interpretation and report	40	37	$92.00	$14.86
83036 Hemoglobin A1C level	37	31	$74.00	$9.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	28	11	$266.43	$63.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	19	$253.00	$53.65
G0009 Administration of pneumococcal vaccine	22	22	$130.45	$33.84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$664.38	$281.97
99495 Transitional care management services for problem of at least moderate complexity	17	16	$880.94	$209.53
99496 Transitional care management services for problem of high complexity	17	14	$1195.00	$283.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$707.00	$168.19
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	15	15	$184.80	$50.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$58.00	$6.64
91320 Sarscv2 vac 30mcg trs-suc im	13	13	$281.00	$128.48
90480 Admn sarscov2 vacc 1 dose	13	13	$185.00	$45.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$707.62	$168.54
81003 Automated urinalysis test	13	13	$18.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	268	$377.46	$93.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	202	$533.90	$133.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$545.76	$135.68
93000 Routine ekg using at least 12 leads including interpretation and report	58	52	$92.00	$14.83
G0008 Administration of influenza virus vaccine	49	47	$120.86	$33.05
90662 Influenza vaccine split virus, preservative free	46	44	$143.91	$66.77
83036 Hemoglobin A1C level	37	35	$74.00	$9.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	24	$253.00	$55.14
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	29	16	$187.48	$65.57
81003 Automated urinalysis test	19	19	$18.00	$2.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$233.00	$59.36
99496 Transitional care management services for problem of high complexity	16	15	$1155.13	$273.27
99495 Transitional care management services for problem of at least moderate complexity	13	12	$850.46	$214.69
69210 Removal of impacted ear wax	12	12	$197.17	$49.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$688.82	$173.41
G0009 Administration of pneumococcal vaccine	11	11	$79.91	$33.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	343	246	$330.39	$95.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	194	$479.56	$134.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	151	151	$506.77	$138.45
G0008 Administration of influenza virus vaccine	70	70	$89.61	$19.53
90662 Influenza vaccine split virus, preservative free	67	67	$99.25	$65.26
93000 Routine ekg using at least 12 leads including interpretation and report	51	48	$88.37	$15.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	34	$202.00	$59.11
83036 Hemoglobin A1C level	40	34	$74.00	$9.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	29	$253.00	$55.44
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	29	12	$172.17	$42.63
81003 Automated urinalysis test	21	19	$18.00	$2.25
99496 Transitional care management services for problem of high complexity	15	15	$1060.00	$292.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$690.25	$175.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	213	$307.26	$78.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	151	$448.08	$114.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$481.89	$121.56
G0008 Administration of influenza virus vaccine	71	70	$108.00	$19.00
90662 Influenza vaccine split virus, preservative free	70	69	$89.59	$60.46
99442 Telephone medical discussion with physician, 11-20 minutes	51	42	$305.20	$78.55
99441 Telephone medical discussion with physician, 5-10 minutes	39	29	$189.15	$48.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$189.33	$46.83
G0009 Administration of pneumococcal vaccine	28	28	$108.00	$18.93
83036 Hemoglobin A1C level	28	24	$74.00	$9.65
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$87.00	$17.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	11	$170.89	$43.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	12	$253.00	$56.30
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$446.56	$113.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$206.67	$117.79
90670 Pneumococcal vaccine for injection into muscle	13	13	$376.62	$225.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	410	265	$297.43	$77.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	194	$435.84	$112.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$475.54	$121.10
G0008 Administration of influenza virus vaccine	97	95	$108.00	$17.52
90662 Influenza vaccine split virus, preservative free	89	87	$93.02	$54.69
83036 Hemoglobin A1C level	54	44	$74.00	$10.57
G0009 Administration of pneumococcal vaccine	44	44	$108.00	$17.90
93000 Routine ekg using at least 12 leads including interpretation and report	43	38	$87.00	$17.88
90670 Pneumococcal vaccine for injection into muscle	24	24	$267.00	$207.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$253.00	$55.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$695.90	$178.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$205.50	$111.61
99496 Transitional care management services for problem of high complexity	19	16	$943.05	$241.66
99495 Transitional care management services for problem of at least moderate complexity	16	14	$666.75	$171.27
81003 Automated urinalysis test	14	14	$18.00	$2.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$670.75	$172.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	434	283	$290.94	$76.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	242	$427.02	$112.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$466.17	$119.08
G0008 Administration of influenza virus vaccine	116	112	$107.17	$22.81
90662 Influenza vaccine split virus, preservative free	106	102	$103.00	$51.03
G0009 Administration of pneumococcal vaccine	63	63	$105.21	$23.21
90670 Pneumococcal vaccine for injection into muscle	46	46	$254.41	$197.56
93000 Routine ekg using at least 12 leads including interpretation and report	43	40	$87.00	$17.85
83036 Hemoglobin A1C level	36	32	$74.00	$11.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$685.00	$172.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	16	$253.00	$56.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$227.00	$105.59
81003 Automated urinalysis test	14	14	$18.00	$2.71
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$102.00	$16.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$658.83	$167.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	258	$417.14	$110.24
99213 Established patient office or other outpatient visit, typically 15 minutes	377	235	$281.89	$74.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$454.69	$119.76
G0008 Administration of influenza virus vaccine	109	109	$103.04	$28.66
G0009 Administration of pneumococcal vaccine	108	108	$101.83	$28.66
90662 Influenza vaccine split virus, preservative free	101	101	$59.71	$48.05
90670 Pneumococcal vaccine for injection into muscle	100	100	$253.00	$186.29
93000 Routine ekg using at least 12 leads including interpretation and report	41	37	$87.00	$17.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$667.15	$176.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$253.00	$54.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$645.29	$171.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 72113

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3102203 (MA)

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Northern Massachusetts Inc

331 Highland Ave, Salem, MA 019707006

Phone: 9787443499

Mass General Brigham Medical Group Northern Massachusetts Inc

331 Highland Ave, Salem, MA 019707006

Phone: 9787451200

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Widger Rd, Marblehead, MA 019452146

Phone: 7816315726

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Hutchinson Dr, Danvers, MA 019233748

Phone: 9787396950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Christine Call , FNP-C

Nurse Practitioner - Family

NPI 1083420905

Family Nurse Practitioner (Certified)

Dr. Ruili Gu , MD

Internal Medicine

NPI 1104858851

Doctor of Medicine (M.D.)

Dr. Cerima Durakovic-Seremet , MD

Internal Medicine

NPI 1356397160

Doctor of Medicine (M.D.)

Stephanie Barbeau , NP

Nurse Practitioner

NPI 1417957762

Nurse Practitioner

Dr. Anastasia Koniaris , MD

Obstetrics & Gynecology

NPI 1457576803

Doctor of Medicine (M.D.)

Dr. Kristy Cahill , MD

Internal Medicine

NPI 1528228608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2012

Registered at ONE HUTCHINSON DR, DANVERS, MA 01923 (Tel: 9787396950)

📍

Updated Business Mailing Address February 28, 2012

Registered at 1 HUTCHINSON DR, DANVERS, MA 019233748 (Tel: 9787396950)

👤

Provider Name / Credentials Updated February 28, 2012

Recorded as JAMES HICKEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Internal Medicine (License #72113 in MA)

🟢

Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Hickey. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1265488076

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 25, 2006

Last Update: February 28, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Hutchinson Dr

Danvers, MA 019233748

Phone: 9787396950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.