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PROVIDER PROFILE · NPI 1013303544

Kelli HickleM.D.

Plastic and Reconstructive SurgerySouth Portland, MEI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 200009
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
56
Unique beneficiaries
—
Total services
58
Distinct HCPCS
3
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 13 Plastic and Reconstructive Surgery providers in ME — bottom quintile (cohort median 266).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$326
Payment records
5
By payment type
Food and Beverage$326