KRISTIN WICKHAM M.D.
NPI 1013368968
Family Medicine in Madisonville, KY

Q: What is Kristin Wickham's NPI number?

The NPI number for Kristin Wickham is 1013368968. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Kristin Wickham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Wickham was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment

200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2019, Sep 4, 2019, Aug 14, 2019 and 1 more (4 updates tracked since 2016).

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About Kristin Wickham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN WICKHAM M.D. (NPI 1013368968) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (52925) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1013368968

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRISTIN WICKHAMCredential: M.D.

Location Address200 CLINIC DRMadisonville, KY 42431-1661

Mailing Address2700 Stanley Gault Parkway Ste 129Louisville, KY 40225-5176 · (502) 253-4900 · Fax (502) 489-5751

Phone(270) 825-7200

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016

Enumeration DateJune 22, 2016

Last NPPES UpdateOctober 15, 20194 updates tracked since enumeration

✔ NPI 1013368968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 52925✔ Licensed in IN · 11018785A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 CLINIC DR, Madisonville, KY 42431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Wickham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527359231

PECOS Enrollment IDI20191017002100

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers41 claims83 services$5.89 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims26 services$1.07 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier22 claims22 services$59.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$20.43 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers35 claims35 services$116.01 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$38.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER RAE PENDLEY

Case Manager/Care Coordinator