Active NPI
Alicia R W Kincaid, DO
- Surgery Physician
- Mount Pleasant, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- T9426
- Practice address
- 2001 N Jefferson Ave Ste 203
Mount Pleasant, TX 75455-2310 - Phone
- (903) 434-8880
- Fax
- (903) 434-8881
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2016020856 | MO | |
| Surgery Physician | 208600000X | TL.0006478 | CO | |
| Surgery Physician | 208600000X | T9426 | TX | Primary |
Addresses
Primary practice location
2001 N Jefferson Ave Ste 203
Mount Pleasant, TX 75455-2310
Mailing address
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 434-8044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL.0006478 | Other | CO | PHYSICIAN TRAINING LICENSE |
| 2016020856 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rocky Vista University College of Osteopathic Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2310
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
Hospital & facility affiliations
- Titus Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 44 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 32 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL.0006478 | CO | MD | Surgery Physician |
| 2016020856 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titus County Hospital District | Current | Accepting new patients | |
| Titus County Hospital District | Current | Accepting new patients |
Locations
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
2001 N Jefferson Ave
Ste 203
Mt Pleasant, TX 75455
Phone (903) 434-8880
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1861843633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552338",
"telephone_number": "903-434-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE STE 203",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552310",
"telephone_number": "903-434-8880",
"fax_number": "903-434-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "ALICIA",
"middle_name": "R W",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2016020856",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "TL.0006478",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T9426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN TRAINING LICENSE",
"identifier": "TL.0006478",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF HEALING ARTS",
"identifier": "2016020856",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.