SAMANTHA WICKMAN MD
NPI 1437723574
Internal Medicine in Richmond, VA

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Jul 6, 2024, May 13, 2021 (3 updates tracked since 2021).

About Samantha Wickman Md NPPES

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

SAMANTHA WICKMAN MD (NPI 1437723574) is an individual internal medicine provider in Richmond, Virginia, licensed in Virginia (0101281608) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of University Of Virginia School Of Medicine (2021).

NPPES Registry Identity

NPI1437723574
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAMANTHA WICKMANCredential: MD
Location Address1201 BROAD ROCK BLVDRichmond, VA 23249-0509
Mailing AddressPo Box 980663Richmond, VA 23298-0663
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2021
Enumeration DateMay 13, 2021
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1437723574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101281608
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 0101281608 (VA)
1201 BROAD ROCK BLVD, Richmond, VA 23249

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

Samantha Wickman 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 ID9234532300
PECOS Enrollment IDI20241112000048
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.

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23249 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Physical Therapy Assistant
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Psychologist (Clinical)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Nurse Practitioner (Primary Care)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Pathology (Anatomic Pathology & Clinical Pathology)
1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249
Occupational Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Pharmacist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Dietitian, Registered
1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249
Physical Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249

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 Samantha Wickman's NPI number?

The NPI number for Samantha Wickman is 1437723574. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Samantha Wickman located?

Samantha Wickman practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Samantha Wickman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samantha Wickman enrolled in Medicare?

Yes. Samantha Wickman 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.

Is Samantha Wickman affiliated with any hospitals?

According to CMS data, Samantha Wickman is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Wickman was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.