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DR. WANDA J WICKS MD
NPI 1053477992
Family Medicine in Baltimore, MD

Active since December 28, 2006PECOS Enrolled
4920 CAMPBELL BOULAVARD, BALTIMORE, MD 21236(410) 933-7600(410) 933-7601 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Wanda J Wicks Md NPPES

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

DR. WANDA J WICKS MD (NPI 1053477992) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D36343) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053477992
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WANDA J WICKSCredential: MD
Location Address4920 CAMPBELL BOULAVARDBaltimore, MD 21236-5916
Mailing Address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 WestRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308
Phone(410) 933-7600
Fax(410) 933-7601
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1053477992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D36343
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.
4920 CAMPBELL BOULAVARD, Baltimore, MD 21236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wanda J Wicks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Wanda Wicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Healthcare PC
52 mi
Primary Care
6020 RICHMOND HWY STE 102
Alexandria, VA 22303
  • Reassigned Medicare billing, Maryland enrollment
  • 61 clinicians in this Medicare group
NPI 1811239627 (571) 308-6776

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 2

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

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
1 supplier11 claims11 services$71.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$36.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Wanda Wicks's NPI number?

The NPI number for Wanda Wicks is 1053477992. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Wanda Wicks located?

Wanda Wicks practices at 4920 Campbell Boulavard, Baltimore, MD 21236. The listed phone number is (410) 933-7600.

What is Wanda Wicks's specialty?

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

Is Wanda Wicks enrolled in Medicare?

Yes. Wanda Wicks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wanda Wicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Wicks reassigns Medicare benefits to Capital Healthcare PC (Alexandria, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Wicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wanda Wicks was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.