John Paul Hickey, MD
NPI 1649217423ActiveIndividual· Internal Medicine· Lenox, MA
Internal Medicine (MD) in Lenox, Massachusetts, trained at State University of New York at Stony Brook, School of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $474,178 for 3,347 claims, against $24,575 paid for services in 2024.
Overview
| NPI | 1649217423 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 1, 2006 |
| Last updated in NPPES | May 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 262626 | MA |
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 - Internal Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 304 |
|---|---|
| Services billed | 460 across 24 procedure codes |
| Paid by Medicare | $24,575 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,347 · 7,918 30-day fills |
|---|---|
| Patients | 391 |
| Total drug cost | $474,178 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Rheumatology |
| Telehealth | Offers telehealth |
Medical group
- Albany Medical CollegeAlbany, NY · 1,056 clinicians
Hospital affiliations
- Albany Medical Center HospitalAlbany, NY
- Samaritan Hospital of Troy, New YorkTroy, NY
- St Peter's HospitalAlbany, NY
- Sunnyview Hospital and Rehabilitation CenterSchenectady, NY
Other facilities
- Eddy Visiting Nurse & Rehab AssociationHome health agency · Troy, NY
- Marquis Certified Home Care, LLCHome health agency · Albany, NY
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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