Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS WILCOX M.D.
NPI 1497102651
Physical Medicine & Rehabilitation - Sports Medicine in Pewaukee, WI

Q: What is Nicholas Wilcox's NPI number?

The NPI number for Nicholas Wilcox is 1497102651. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Nicholas Wilcox's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Wilcox was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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 May 18, 2016PECOS EnrolledAccepts Medicare Assignment

N15W28300 GOLF RD, PEWAUKEE, WI 53072(262) 303-5055(262) 303-5057 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 19, 2026, Jul 27, 2026, Sep 5, 2024 and 3 more (6 updates tracked since 2016).

On this page

About Nicholas Wilcox M.d. NPPES

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

NICHOLAS WILCOX M.D. (NPI 1497102651) is an individual sports medicine provider in Pewaukee, Wisconsin, licensed in Wisconsin (69772) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and maintains a secondary practice location in Marysville.

NPPES Registry Identity

NPI1497102651

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameNICHOLAS WILCOXCredential: M.D.

Location AddressN15W28300 GOLF RDPewaukee, WI 53072-4800

Mailing AddressN15w28300 Golf RdPewaukee, WI 53072-4800 · (262) 303-5055 · Fax (262) 303-5057

Phone(262) 303-5055

Fax(262) 303-5057

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2016

Enumeration DateMay 18, 2016

Last NPPES UpdateAugust 19, 20266 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1497102651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

Licenses✔ Licensed in WI · 69772✔ Licensed in WA · MD61301301

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

N15W28300 GOLF RD, Pewaukee, WI 53072

Open in Google Maps ↗

Secondary Practice Location 1

Location 12901 174th St NEMarysville, WA 98271-4743 · Phone (360) 454-1900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Nicholas Wilcox 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 ID1658610985

PECOS Enrollment IDI20220826002270

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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

576 services106 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.

184 services117 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

97 services97 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

86 services68 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

63 services45 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.

48 services42 patients

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

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.

THE ORTHOPAEDIC SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)