MARK C WICKRE MD
NPI 1063830628
Radiology - Diagnostic Radiology in La Crosse, WI

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Aug 21, 2019 (2 updates tracked since 2019).

About Mark C Wickre Md NPPES

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

MARK C WICKRE MD (NPI 1063830628) is an individual diagnostic radiology provider in La Crosse, Wisconsin, licensed in Wisconsin (73555) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063830628
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK C WICKRECredential: MD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1063830628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in WI · 73555 Licensed in MN · 61383
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1836 SOUTH AVE, La Crosse, WI 54601

Secondary Practice Locations 2

Location 1420 Delaware St SE, G254 Mayo BuildingMinneapolis, MN 55455-0341 · Phone (612) 625-7634
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Mark C Wickre Md 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 ID9436454451
PECOS Enrollment IDI20190829000058, I20201022002479, I20201105000580
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 11

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
569 services569 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
493 services493 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
288 services288 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
273 services273 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
121 services119 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
81 services79 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Medical Center

Critical Access Hospitals · Wabasha, MN
OwnershipProprietary
CMS Certification Number241335
Location1200 Grant Blvd WWabasha, MN 55981 · Wabasha County
Emergency services

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521304
Location400 Water AveHillsboro, WI 54634 · Vernon County
Emergency services

Gundersen Tri-County Hospital & Clinics

Critical Access Hospitals · Whitehall, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521316
Location18601 Lincoln StWhitehall, WI 54773 · Trempealeau County
Emergency services

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521344
Location205 Parker StBoscobel, WI 53805 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

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 Mark Wickre's NPI number?

The NPI number for Mark Wickre is 1063830628. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Mark Wickre located?

Mark Wickre practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Mark Wickre's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Wickre enrolled in Medicare?

Yes. Mark Wickre 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 Mark Wickre accept?

Health plans from Group Health Cooperative-SCW list Mark Wickre 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 Mark Wickre affiliated with any hospitals?

According to CMS data, Mark Wickre is affiliated with St Elizabeth Medical Center, Gundersen Lutheran Medical Center, Gundersen St Josephs Hospital And Clinics, Gundersen Tri-County Hospital & Clinics and Gundersen Boscobel Area Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Mark Wickre was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.