Individual provider Active NPI

M Scott Hickman, M.D.

  • Ophthalmology Physician
  • Lawrence, KS
National Provider Identifier
1114953965
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-32997 Issued in KS
Practice address
4955 Research Park Way
Lawrence, KS 66047-3944
Phone
(785) 424-8805
Fax
(913) 229-7030
NPI assigned
Jun 23, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0432997 KS
Ophthalmology Physician 207W00000X 04-32997 KS Primary

Addresses

Primary practice location

4955 Research Park Way
Lawrence, KS 66047-3944

Mailing address

4955 Research Park Way
Lawrence, KS 66047-3944
Phone (785) 424-8805

Other identifiers 2

IdentifierTypeStateIssuer
016353OtherKSMEDICARE PROVIDER NUMBER
1770016727OtherGROUP NPI

Other names 1

  • Dr. M Scott Hickman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000623 KS Practitioner - Ophthalmology 5193898914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4955 Research Park Way
Lawrence, KS 66047-3944
Phone (785) 424-8805

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
83.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-32997KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Astra Eye Surgery LLC CurrentSince Nov 27, 2022 Accepting new patients
Lawrence Eye Care Associates, P.a. Ophthalmology CurrentSince Jul 21, 2008 Accepting new patients
Ad Astra Eye, LLC Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
Abella Psychotherapy & Consulting LLC PastSince Jun 18, 2016 Accepting new patients
Ridgeview Eye Care LLC PastSince Feb 1, 2025 Accepting new patients

Locations

1015 Iowa St
Lawrence, KS 66044
Phone (785) 505-5671

1112 W 6th St
Ste 214
Lawrence, KS 66044
Phone (785) 841-2280

1429 Oread West St
Ste 110A
Lawrence, KS 66049
Phone (785) 424-8805

4955 Research Park Way
Lawrence, KS 66047
Phone (785) 424-8805

17795 W 106th St
Ste 202
Olathe, KS 66061
Phone (913) 296-0712

9479 Meadow View Dr
Shawnee, KS 66227
Phone (785) 424-8805

Interoperability endpoints

  • Direct secure messaging: shickman@adastraeye.direct.eyemdemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1114953965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 RESEARCH PARK WAY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473944",
            "telephone_number": "785-424-8805",
            "fax_number": "913-229-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 RESEARCH PARK WAY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473944",
            "telephone_number": "785-424-8805",
            "fax_number": "913-229-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "M SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0432997",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-32997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "016353",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770016727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "HICKMAN",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.