PETER WICKWIRE MD
NPI 1427410851
Otolaryngology in Sacramento, CA

Q: What is Peter Wickwire's NPI number?

The NPI number for Peter Wickwire is 1427410851. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Peter Wickwire's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Wickwire was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 24, 2016PECOS EnrolledAccepts Medicare Assignment

91.96/100

CMS Quality Rating

2521 STOCKTON BLVD, STE 7200, SACRAMENTO, CA 95817(916) 734-5005 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 29, 2021, Jul 28, 2021, Mar 24, 2016 (3 updates tracked since 2016).

On this page

About Peter Wickwire Md NPPES

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

PETER WICKWIRE MD (NPI 1427410851) is an individual otolaryngology provider in Sacramento, California, licensed in Texas (T1604) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1427410851

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NamePETER WICKWIRECredential: MD

Location Address2521 STOCKTON BLVD, STE 7200Sacramento, CA 95817-2207

Mailing Address2521 Stockton Blvd, Ste 7200Sacramento, CA 95817-2207 · (916) 734-5005

Phone(916) 734-5005

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016

Enumeration DateMarch 24, 2016

Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1427410851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · T1604

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2521 STOCKTON BLVD, Sacramento, CA 95817

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Secondary Practice Location 1

Location 11500 S Main St Fl 2Fort Worth, TX 76104-4917 · Phone (817) 702-3000 · Fax (817) 702-1666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Peter Wickwire 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 ID4880001833

PECOS Enrollment IDI20210804000260

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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

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.

91.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.78

Promoting Interoperability

100

Improvement Activities

Cost

56.81

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.

DR. REBECCA ANNE STARK MD

Surgery (Pediatric Surgery)

2521 STOCKTON BLVD, UCDMC GLASSROCK PEDS. SURGERY - SUITE 3200
SACRAMENTO, CA 95817

Sacramento County (916) 734-3229

DR. ANGEL ALBERTO HERRERA GUERRA MD

Pediatrics (Pediatric Rheumatology)

2521 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-2105

MS. SULTANNA B. IDEN RN

Registered Nurse (Pediatrics)

2521 STOCKTON BLVD, PEDIATRICS
SACRAMENTO, CA 95817

Sacramento County (916) 734-0494

MISS MARY LOUISE HUNTER R.D.A.

Dental Assistant

2521 STOCKTON BLVD, ROOM 5200
SACRAMENTO, CA 95817

Sacramento County (916) 734-5408

DR. RODNEY C. DIAZ M.D.

Otolaryngology

2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817

Sacramento County (916) 734-3744

DEBORAH HELEN AMOTT M.D

Otolaryngology

2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817

Sacramento County (916) 734-2801

DR. CRAIG WILLIAM SENDERS MD

Otolaryngology

2521 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-2801

REGENTS OF THE UNIVERSITY OF CA

Pediatrics (Pediatric Critical Care Medicine)

2521 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-3179

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 Peter Wickwire's NPI number?

The NPI number for Peter Wickwire is 1427410851. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Peter Wickwire located?

Peter Wickwire practices at 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817. The listed phone number is (916) 734-5005.

What is Peter Wickwire's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Peter Wickwire enrolled in Medicare?

Yes. Peter Wickwire 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 Peter Wickwire accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Peter Wickwire 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 Peter Wickwire affiliated with any hospitals?

According to CMS data, Peter Wickwire is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Peter Wickwire was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.