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

KYLE WICKHAM MD
NPI 1558063248
Pediatrics in San Marcos, CA

Active since March 20, 2023PECOS Enrolled
400 CRAVEN RD, SAN MARCOS, CA 92078(833) 574-2273 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Apr 21, 2026, Mar 20, 2023 (3 updates tracked since 2023).

About Kyle Wickham Md NPPES

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

KYLE WICKHAM MD (NPI 1558063248) is an individual pediatrics provider in San Marcos, California, licensed in California (A207633) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558063248
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKYLE WICKHAMCredential: MD
Location Address400 CRAVEN RDSan Marcos, CA 92078-4201
Mailing Address400 Craven RdSan Marcos, CA 92078-4201
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1558063248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A207633
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
400 CRAVEN RD, San Marcos, CA 92078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Wickham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92078 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

MRS. LAURIE JUNE STEINECKE PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5662
MASSUD R WEISS
Family Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (833) 574-2273
SZE HOAY DING M.D.
Internal Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (619) 318-7476
MS. JENNIFER ALEXANDER RCP, RRT
Respiratory Therapist, Certified (Pulmonary Function Technologist)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5457
LORRAINE VIVIENNE LEVY PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5656
NICOLETTE E. DOME AU.D.
Audiologist
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (858) 616-5115
DR. ROSE RIDINGS FEAVER PHARM.D.
Pharmacist
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-4077
DR. MICHAEL JOSEPH CRAWFORD D.P.M
Podiatrist (Foot & Ankle Surgery)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (626) 818-0967

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 Kyle Wickham's NPI number?

The NPI number for Kyle Wickham is 1558063248. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kyle Wickham located?

Kyle Wickham practices at 400 Craven Rd, San Marcos, CA 92078. The listed phone number is (833) 574-2273.

What is Kyle Wickham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kyle Wickham enrolled in Medicare?

Yes. Kyle Wickham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Wickham was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.