Charlene J. Hickson, M.D.
NPI 1417909938ActiveIndividual· Otolaryngology· Pueblo, CO
Otolaryngology (M.D.) with Poudre Valley Medical Group LLC and 1 other group, practicing in Pueblo, Colorado. Mostly services rather than prescriptions: Medicare paid $2,617 for 11 patients in 2024, with only 17 Part D claims. Lists Parkview Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1417909938 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Sep 8, 2022 |
| Certified by provider | Sep 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 39435 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 25 across 14 procedure codes |
| Paid by Medicare | $2,617 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $204.94 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Otolaryngology |
Medical groups
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
- Catholic Health Initiatives ColoradoLakewood, CO · 1,225 clinicians
Hospital affiliation
- Parkview Medical Center, IncPueblo, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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