Doctor profile · Federal record
Dr. ALEXANDER KMICIKEWYCZ, MD
Internal Medicine Physician (CMS: INTERNAL MEDICINE) · PALOS HEIGHTS, IL
- NPI 1710097779
- Accepts Medicare
- 45 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12622 SOUTH HARLEM AVENUE
PALOS HEIGHTS, IL 604631428
(708) 923-9610
fax (708) 923-9613
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- December 29, 2021
- Year of graduation
- 1981 — 45 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Illinois #036064794
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710097779. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,159
Distinct HCPCS
10
Medicare allowed
$154,477
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 612 | 267 | $134 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 166 | 166 | $134 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 106 | 81 | $186 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 98 | 75 | $95 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 81 | 16 | $83 | |
99496 |
Transitional care management services for problem of high complexity | 26 | 24 | $287 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 17 | $137 | |
69210 |
Removal of impacted ear wax | 19 | 16 | $51 | |
99238 |
Hospital discharge day management, 30 minutes or less | 19 | 16 | $84 | |
99235 |
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes | 12 | 12 | $167 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 168. This provider delivers 6.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,124
Patients
883
Total drug cost
$51,084
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 456 | 125 | $7,227 |
| Atorvastatin Calcium | Generic | 388 | 108 | $6,086 |
| Levothyroxine Sodium | Generic | 312 | 85 | $5,860 |
| Amlodipine Besylate | Generic | 305 | 85 | $3,030 |
| Hydrochlorothiazide | Generic | 203 | 59 | $1,006 |
| Metformin Hcl | Generic | 202 | 59 | $2,469 |
| Sertraline Hcl | Generic | 159 | 40 | $1,637 |
| Metoprolol Succinate | Generic | 157 | 43 | $3,145 |
| Rosuvastatin Calcium | Generic | 156 | 43 | $3,083 |
| Pantoprazole Sodium | Generic | 142 | 47 | $2,995 |