DR. RICKY DUANE WILKERSON D.O.
NPI 1528061264
Orthopaedic Surgery in Decorah, IA

Q: What is Ricky Wilkerson's NPI number?

The NPI number for Ricky Wilkerson is 1528061264. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Q: What is Ricky Wilkerson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricky Wilkerson was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 26, 2005PECOS EnrolledAccepts Medicare Assignment

901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2019, Jul 16, 2019, Mar 19, 2019 (3 updates tracked since 2019).

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About Dr. Ricky Duane Wilkerson D.o. NPPES

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

DR. RICKY DUANE WILKERSON D.O. (NPI 1528061264) is an individual orthopaedic surgery provider in Decorah, Iowa, licensed in Iowa (DO-02193) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1528061264

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. RICKY DUANE WILKERSONCredential: D.O.

Location Address901 MONTGOMERY STDecorah, IA 52101

Mailing Address901 Montgomery StDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 382-4143

Phone(563) 382-2911

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateMay 26, 2005

Last NPPES UpdateAugust 22, 20193 updates tracked since enumeration

✔ NPI 1528061264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in IA · DO-02193✔ Licensed in MN · 66249

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

901 MONTGOMERY ST, Decorah, IA 52101

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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ricky Duane Wilkerson D.o. 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 ID4587690847

PECOS Enrollment IDI20050709000046

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.

Medicare Billing Reassignments

Medicare enrollment records show Ricky Wilkerson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Holy Family

154 mi

Critical Access

826 N 8TH ST
Estherville, IA 51334

Reassigned Medicare billing, Iowa enrollment
65 clinicians in this Medicare group

NPI 1508810177 (712) 362-2631

Lakes Regional Healthcare

168 mi

Clinic/Center

2700 23RD ST
Spirit Lake, IA 51360

Reassigned Medicare billing, Iowa enrollment
65 clinicians in this Medicare group

NPI 1609121896 (712) 336-2410

Spencer Municipal Hospital

170 mi

Clinic/Center

2004 OKOBOJI AVE
Milford, IA 51351

Reassigned Medicare billing, Iowa enrollment
176 clinicians in this Medicare group

NPI 1396732186 (712) 338-2461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160112

Location1200 1st Avenue EastSpencer, IA 51301 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…

100%68 patients

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…

100%65 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. RANDALL J BREMNER M.D.

Obstetrics & Gynecology

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-2911

ERIC WILLIAM SVESTKA M.D.

Family Medicine

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-2911

NANCY J GILSON RN DIABETES EDUCATOR

Registered Nurse (Diabetes Educator)

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-2911

HANNAH GAVESKE ATC

Specialist/Technologist (Athletic Trainer)

901 MONTGOMERY ST, REHABILITATION SERVICES
DECORAH, IA 52101

Winneshiek County (563) 382-2911

CHRIS TRYTTEN

Specialist/Technologist (Athletic Trainer)

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-2911

DOUGLAS O VOGELSON JR. AU.D.

Audiologist-Hearing Aid Fitter

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-9671

WINNESHIEK MEDICAL CENTER

Nurse Anesthetist, Certified Registered

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (952) 442-9770

MS. TAYLOR JO SNYDER RN

Registered Nurse (Emergency)

901 MONTGOMERY ST
DECORAH, IA 52101

Winneshiek County (563) 382-2911

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 Ricky Wilkerson's NPI number?

The NPI number for Ricky Wilkerson is 1528061264. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Ricky Wilkerson located?

Ricky Wilkerson practices at 901 Montgomery St, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Ricky Wilkerson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ricky Wilkerson enrolled in Medicare?

Yes. Ricky Wilkerson 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.

Which organizations bill Medicare for Ricky Wilkerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricky Wilkerson reassigns Medicare benefits to 3 organizations: Avera Holy Family (Estherville, IA), Lakes Regional Healthcare (Spirit Lake, IA) and Spencer Municipal Hospital (Milford, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ricky Wilkerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricky Wilkerson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Ricky Wilkerson 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 Ricky Wilkerson affiliated with any hospitals?

According to CMS data, Ricky Wilkerson is affiliated with Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Ricky Wilkerson was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.