Doctor profile · Federal record
Dr. Jeffrey Ickler, M.D.
Surgery Physician · Diberville, MS
- NPI 1477656528
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10241 Boney Ave Ste A
Diberville, MS 395404889
(228) 967-7651
fax (228) 967-7653 - Additional location
-
1700 Spring Hill Ave, Ste 400
Mobile, AL 366041407
(251) 438-4440
fax (251) 438-4599
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- May 7, 2025
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Alabama #00022258
- Medicaid
- AL #009998120
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477656528. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intra-Sana Laboratories | 1 | $30.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
88
Patients
11
Total drug cost
$75,441
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mounjaro (Tirzepatide) | Brand | 34 | 0 | $53,992 |
| Topiramate | Generic | 24 | 11 | $160 |
| Ondansetron Hcl | Generic | 19 | 0 | $138 |
| Ozempic (Semaglutide) | Brand | 11 | 0 | $21,152 |
Frequently asked questions
What is Dr. Jeffrey Ickler's medical specialty?
Dr. Jeffrey Ickler practices Surgery Physician in Diberville, MS.
Where does Dr. Jeffrey Ickler practice?
Dr. Jeffrey Ickler practices at 10241 Boney Ave Ste A, Diberville, MS 395404889. Office phone: 2289677651.
What is Dr. Jeffrey Ickler's NPI?
Dr. Jeffrey Ickler's National Provider Identifier (NPI) is 1477656528, issued by NPPES.