Cory J Hicks (NPI# 1588863450, PAC ID# 2163604422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1588863450 |
| PAC ID by PECOS | 2163604422 |
| Professional Enrollment ID | I20140714000183 |
| Full Name | Cory J Hicks |
| Organization Legal Name | CHEST MEDICINE OF NEW MEXICO PC |
| Address |
504 Elm St Ne Heart Hospital of Nm Albuquerque NM 87102-2512 |
| Phone Number | 5057278000 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 0446233563 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320017 | LOVELACE WOMEN'S HOSPITAL |
| 320009 | LOVELACE MEDICAL CENTER |
| 320021 | PRESBYTERIAN HOSPITAL |
| 320001 | UNIVERSITY OF NEW MEXICO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4273 Montgomery Blvd Ne, Suite 200e, Albuquerque, NM 87109-6746 | 5058215992 | CHEST MEDICINE OF NEW MEXICO PC |
| 504 Elm St Ne, Heart Hospital of Nm, Albuquerque, NM 87102-2512 | 5057278000 | CHEST MEDICINE OF NEW MEXICO PC |
| 700 High St Ne, Kindred Hospital, Albuquerque, NM 87102-2565 | 5052424444 | CHEST MEDICINE OF NEW MEXICO PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 54% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 78% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 76% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 6% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 15% | |
| MIPS_EC_047_overall | Care Plan | 66% | |
| MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 40% | |
| MIPS_EC_052_overall | Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy | 97% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 89% |
| Organization Legal Name | CHEST MEDICINE OF NEW MEXICO PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Dorf | Pulmonary Disease | Chest Medicine of New Mexico PC | 504 Elm St Ne, Heart Hospital of Nm, Albuquerque, NM 87102-2512 |
| Jennifer Vergeer | Nurse Practitioner | Chest Medicine of New Mexico PC | 4273 Montgomery Blvd Ne, Suite 200e, Albuquerque, NM 87109-6746 |
| Street Address |
504 ELM ST NE HEART HOSPITAL OF NM |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87102-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dirk Bradley Bahoravitch | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Bradley Richardson | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Daniel G Berson | Anesthesiology | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Jeffrey M Dorf | Pulmonary Disease | Chest Medicine of New Mexico PC | 504 Elm St Ne, Heart Hospital of Nm, Albuquerque, NM 87102-2512 |
| Lia A Pulido | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Michael M Steele | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Brent Butner | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Cody Randy Charlton | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Megan Hilgenberg | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Richard White | Nurse Practitioner | Lovelace Health System LLC | 601 Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 |
| Amanda G Wilder | Clinical Social Worker | 200 Rosemont Ave Ne, Albuquerque, NM 87102-1569 | |
| Rachel L Rogers | Clinical Social Worker | 200 Rosemont Ave Ne, Suite D, Albuquerque, NM 87102-1599 | |
| Elaine K Padilla | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Kathryn Fehr | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Daniel Crowder | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Claire Greene | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Scott S Stoerner | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Jacqueline K Dean | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Leroy A Pacheco | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Find all physicians in zip 87102 | |||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | ALBUQUERQUE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Cory J Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.