Active NPI 1326054073 Individual Practitioner Male Practitioner

Dr. Todd L Hicks , MD

Surgery - Plastic and Reconstructive Surgery • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Hicks, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Dayton, OH. With approximately 25 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 2001, Dr. Hicks delivers high-quality medical care to the local community at 580 LINCOLN PARK BLVD.

Dr. Hicks is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

580 Lincoln Park Blvd
Ste 300

Dayton, OH 454293474

Telephone 9373968001

Fax 9373968003

Associated Practice Facility / Clinic

🏢 Premier Health Specialists Inc Facility NPI 1518283712

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Dayton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -9.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Dayton, OH (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hicks (25 Years) 25 Yrs

Dayton Specialty Average (34.0 Years) 34.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	202	202	$175.00	$104.19
99213 Established patient office or other outpatient visit, typically 15 minutes	107	91	$134.00	$85.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	69	$83.00	$52.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	69	67	$1014.00	$264.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	47	$550.00	$87.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	50	$1343.00	$326.78
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	40	39	$910.00	$280.99
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	31	25	$278.00	$84.11
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	25	$495.00	$86.75
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$629.00	$99.52
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$495.00	$91.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	15	$378.00	$73.02
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	20	20	$250.00	$81.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$300.00	$163.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$616.00	$101.17
17000 Destruction of skin growth	11	11	$158.00	$54.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$175.00	$105.96
99213 Established patient office or other outpatient visit, typically 15 minutes	77	70	$134.00	$84.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	45	$82.00	$54.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$1014.00	$310.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	29	$550.00	$103.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1343.00	$383.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$300.00	$170.17
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$910.00	$311.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$175.00	$107.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	49	$81.84	$54.74
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$133.53	$87.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	28	$1014.00	$327.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$550.00	$102.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$1343.00	$350.95
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	14	13	$278.00	$93.39
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$115.00	$70.55
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$616.00	$94.80
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$910.00	$298.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$193.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$175.00	$110.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	38	$70.00	$54.69
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$110.00	$89.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$1343.00	$370.37
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$115.00	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$165.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	46	$65.00	$44.06
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$178.49	$72.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$182.31	$104.52
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$106.00	$73.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$910.00	$275.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	53	$65.00	$42.89
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$96.00	$74.00
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$106.00	$68.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$154.00	$101.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	15	$1014.00	$353.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$616.00	$109.22
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$1343.00	$416.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$96.00	$71.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	46	$65.00	$41.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$106.00	$70.02
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	12	$401.24	$100.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	15	$1343.00	$331.15
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$1014.00	$339.21
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$910.00	$292.48
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$616.00	$97.20
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$495.00	$96.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	66	$65.00	$41.31
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$96.00	$71.49
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$106.00	$69.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	23	$1014.00	$326.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	19	$1343.00	$397.18
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$359.00	$102.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$189.00	$134.11

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OH 35.085868

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35-08-5868

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2665174 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

2300 Miami Valley Dr, Centerville, OH 454591294

Phone: 9373968001

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 04, 2019

Registered at 2300 MIAMI VALLEY DR, STE 380, CENTERVILLE, OH 454591294 (Tel: 9373968001)

✅

NPI Profile Active November 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2013

Registered at 580 LINCOLN PARK BLVD, STE 300, DAYTON, OH 454293474 (Tel: 9373968001)

📍

Updated Business Mailing Address November 19, 2013

Registered at 580 LINCOLN PARK BLVD, STE 300, DAYTON, OH 454293474 (Tel: 9373968001)

👤

Provider Name / Credentials Updated November 19, 2013

Recorded as TODD HICKS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2013

Surgery (License #35-08-5868 in OH)

🟢

Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326054073

Entity Type:

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

Enumeration Date: August 01, 2006

Last Update: October 04, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2300 Miami Valley Dr, Ste 380

Centerville, OH 454591294

Phone: 9373968001

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.