Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033209606 Individual Practitioner Male Practitioner

Dr. William Leslie Hickerson , MD

Surgery - Plastic and Reconstructive Surgery • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. William Hickerson, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Memphis, TN. Practice services are available at 890 MADISON AVE under active NPI credentials.

Frequently performed procedures and clinical services include preparation of graft site at trunk, arms, or legs, preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children), skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

890 Madison Ave
Suite Tg032

Memphis, TN 381033409

Telephone 9014482579
Fax 9014482602
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Memphis, TN (78 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
15003 Preparation of graft site at trunk, arms, or legs
130 12 $330.00 $43.50
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)
18 13 $1280.00 $213.03

Medical Specialties & State Licenses

CMS Verified: 2025-04-18
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TN 12709

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License AR E-4374

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License AR E-4374

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00154377 (MS)
Medicaid State Provider ID
1033209606 (MO)
Medicaid State Provider ID
003179306A (GA)
Medicaid State Provider ID
111048001 (AR)
Medicaid State Provider ID
3001590 (TN)
Medicaid State Provider ID
177555 (AL)

Secondary Practice Locations

1 Childrens Way # 210

Little Rock, AR 722023500

Phone: 5013641100

Practice Associates & Co-Workers

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

1 Associated Practitioners
Barbara Birmingham

Nurse Practitioner

NPI 1306859061

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2025

Plastic Surgery (License #E-4374 in AR)

NPI Profile Active May 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2009

Registered at 890 MADISON AVE, SUITE TG032, MEMPHIS, TN 381033409 (Tel: 9014482579)

📍
Updated Business Mailing Address May 08, 2009

Registered at 890 MADISON AVE, SUITE TG032, MEMPHIS, TN 381033409 (Tel: 9014482579)

👤
Provider Name / Credentials Updated May 08, 2009

Recorded as WILLIAM HICKERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2009

Surgery (License #E-4374 in AR)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033209606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: April 18, 2025
Sole Proprietor: No

Mailing Address

890 Madison Ave, Suite Tg032

Memphis, TN 381033409

Phone: 9014482579

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.