Doctor profile · Federal record
Dr. CHARLENE HICKSON, M.D.
Otolaryngology Physician (CMS: OTOLARYNGOLOGY) · PUEBLO, CO
- NPI 1417909938
- Accepts Medicare
- MIPS 93.3 / 100 · 2023
- 31 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1218 S PUEBLO BLVD
PUEBLO, CO 810051593
(719) 566-1277
fax (719) 566-1257 - Additional location
-
902 Lakeview Ave
Pueblo, CO 810043597
(719) 557-5855
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- September 8, 2022
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- Colorado #39435
- Medicaid
- CO #50255843
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417909938. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$2,099
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 11 | $175 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 84. This provider delivers 0.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$67
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mupirocin | Generic | 11 | 0 | $67 |