DR. PENDLETON BREWSTER WICKERSHAM M.D.
NPI 1053380048
Internal Medicine - Rheumatology in San Antonio, TX

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4511 HORIZON HILL BLVD, SUITE 150, SAN ANTONIO, TX 78229(210) 477-2626(210) 477-2650 Get Directions Write a Review

NPPES record last updated: February 1, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Pendleton Brewster Wickersham M.d. NPPES

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

DR. PENDLETON BREWSTER WICKERSHAM M.D. (NPI 1053380048) is an individual rheumatology provider in San Antonio, Texas, licensed in Texas (M3113) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Baylor College Of Medicine (2000).

NPPES Registry Identity

NPI1053380048
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PENDLETON BREWSTER WICKERSHAMCredential: M.D.
Location Address4511 HORIZON HILL BLVD, SUITE 150San Antonio, TX 78229-2263
Mailing Address4511 Horizon Hill Blvd, Suite 150San Antonio, TX 78229-2263 · (210) 477-2626 · Fax (210) 477-2650
Fax(210) 477-2650
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2000
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 1, 2015
✔ NPI 1053380048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · M3113
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4511 HORIZON HILL BLVD, San Antonio, TX 78229

Other Identifiers 1

Medicare PIN8F5158TX

Accepted 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

Dr. Pendleton Brewster Wickersham 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 ID1052322732
PECOS Enrollment IDI20060509000629
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 55

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
56,471 services11 patients
Injection, anifrolumab-fnia, 1 mg J0491
Anifrolumab-fnia is a medication administered through an injection, typically used to treat systemic lupus erythematosus, a chronic autoimmune disease. It works by blocking a protein in your body that can cause inflammation, helping to manage symptoms.
54,025 services28 patients
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
This is an injection of immune globulin, specifically Gamunex-C or Gammaked. It's a liquid form, not freeze-dried. Immune globulin is a blood product that helps your immune system to fight infections. It's given in a dose of 500 mg.
13,260 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,043 services81 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
5,395 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,228 services625 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Rheumatology)
4511 HORIZON HILL BLVD, SUITE 150
SAN ANTONIO, TX 78229
Internal Medicine (Rheumatology)
4511 HORIZON HILL BLVD, SUITE 150
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
4511 HORIZON HILL BLVD, SUITE 150
SAN ANTONIO, TX 78229
Internal Medicine (Rheumatology)
4511 HORIZON HILL BLVD, SUITE 150
SAN ANTONIO, TX 78229
Internal Medicine (Rheumatology)
4511 HORIZON HILL BLVD, SUITE 150
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pendleton Wickersham's NPI number?

The NPI number for Pendleton Wickersham is 1053380048. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Pendleton Wickersham located?

Pendleton Wickersham practices at 4511 Horizon Hill Blvd Suite 150, San Antonio, TX 78229. The listed phone number is (210) 477-2626.

What is Pendleton Wickersham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pendleton Wickersham enrolled in Medicare?

Yes. Pendleton Wickersham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pendleton Wickersham accept?

Health plans from UnitedHealthcare list Pendleton Wickersham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pendleton Wickersham affiliated with any hospitals?

According to CMS data, Pendleton Wickersham is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Pendleton Wickersham was last updated on February 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.