DR. EDMOND P WICKHAM III M.D.
NPI 1477566545
Pediatrics - Pediatric Endocrinology in Richmond, VA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL ST, PEDIATRICS, RICHMOND, VA 23298(804) 828-9696(804) 828-8389 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edmond P Wickham Iii M.d. NPPES

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

DR. EDMOND P WICKHAM III M.D. (NPI 1477566545) is an individual pediatric endocrinology provider in Richmond, Virginia, licensed in Virginia (0101234906) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Virginia Commonwealth University, School Of Medicine (1999).

NPPES Registry Identity

NPI1477566545
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. EDMOND P WICKHAM IIICredential: M.D.
Location Address1250 E MARSHALL ST, PEDIATRICSRichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-8389
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1999
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477566545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in VA · 0101234906
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1250 E MARSHALL ST, Richmond, VA 23298

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

Dr. Edmond P Wickham Iii M.d. 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 ID4486629656
PECOS Enrollment IDI20040831000945
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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.

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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers43 claims43 services$189.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298

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 Edmond Wickham's NPI number?

The NPI number for Edmond Wickham is 1477566545. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Edmond Wickham located?

Edmond Wickham practices at 1250 E Marshall St Pediatrics, Richmond, VA 23298. The listed phone number is (804) 828-9696.

What is Edmond Wickham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Edmond Wickham enrolled in Medicare?

Yes. Edmond Wickham 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 Edmond Wickham affiliated with any hospitals?

According to CMS data, Edmond Wickham is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Edmond Wickham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.