1. Home
  2. Directory
  3. Missouri
  4. O Fallon
  5. Optometrist
  6. NPI Profile

DR. MATTHEW DAVID WICKHAM OD
NPI 1083695803
Optometrist in O Fallon, MO

Active since November 09, 2005PECOS Enrolled
3013 WINGHAVEN BLVD, O FALLON, MO 63368(636) 561-3937(636) 561-4068 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew David Wickham Od NPPES

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

DR. MATTHEW DAVID WICKHAM OD (NPI 1083695803) is an individual optometrist in O Fallon, Missouri, licensed in Missouri (T03134) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083695803
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MATTHEW DAVID WICKHAMCredential: OD
Location Address3013 WINGHAVEN BLVDO Fallon, MO 63368-3600
Mailing Address3013 Winghaven BlvdO Fallon, MO 63368-3600 · (636) 561-3937 · Fax (636) 561-4068
Phone(636) 561-3937
Fax(636) 561-4068
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 30, 2012
✔ NPI 1083695803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · T03134
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3013 WINGHAVEN BLVD, O Fallon, MO 63368
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU75625
Medicare ID-Type Unspecified258094555MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Dr. Matthew David Wickham Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 7

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

REGIONAL EYECARE ASSOCIATES INC
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
ALISON MCCOMBS-BUCHANAN
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
PAIGE BLANKENHEIM OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
DR. ABIGAIL MARTIN OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
KATHLEEN GORE AVERY O.D.
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
DR. JENNA OSSECK O.D.
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937
SAMANTHA HOLLAND OD
Optometrist
3013 WINGHAVEN BLVD
O FALLON, MO 63368
St. Charles County (636) 561-3937

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 Matthew Wickham's NPI number?

The NPI number for Matthew Wickham is 1083695803. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Matthew Wickham located?

Matthew Wickham practices at 3013 Winghaven Blvd, O Fallon, MO 63368. The listed phone number is (636) 561-3937.

What is Matthew Wickham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Matthew Wickham enrolled in Medicare?

Yes. Matthew Wickham is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Wickham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Matthew Wickham 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.

When was this NPI record last updated?

The NPPES record for Matthew Wickham was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.