DR. MARYBETH WICKER DDS
NPI 1558460410
Dentist - General Practice in Midlothian, VA

Active since September 21, 2006PECOS Enrolled
14001 CHARTER PARK DRIVE, MIDLOTHIAN, VA 23114(804) 379-1011(804) 419-1059 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Marybeth Wicker Dds NPPES

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

DR. MARYBETH WICKER DDS (NPI 1558460410) is an individual general practice provider in Midlothian, Virginia, licensed in Virginia (0401410286) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558460410
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARYBETH WICKERCredential: DDS
Location Address14001 CHARTER PARK DRIVEMidlothian, VA 23114
Mailing Address1612 Huguenot RoadMidlothian, VA 23113 · (804) 794-9789 · Fax (804) 419-1059
Fax(804) 419-1059
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1558460410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410286
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14001 CHARTER PARK DRIVE, Midlothian, VA 23114

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marybeth Wicker Dds 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 23114 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
14001 CHARTER PARK DRIVE
MIDLOTHIAN, VA 23114
Dentist (Periodontics)
14001 CHARTER PARK DRIVE
MIDLOTHIAN, VA 23114
Dentist
14001 CHARTER PARK DRIVE
MIDLOTHIAN, VA 23114

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 Marybeth Wicker's NPI number?

The NPI number for Marybeth Wicker is 1558460410. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Marybeth Wicker located?

Marybeth Wicker practices at 14001 Charter Park Drive, Midlothian, VA 23114. The listed phone number is (804) 379-1011.

What is Marybeth Wicker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Marybeth Wicker enrolled in Medicare?

Yes. Marybeth Wicker is registered in the Medicare PECOS enrollment system.

What insurance does Marybeth Wicker accept?

Health plans from Humana list Marybeth Wicker 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.

When was this NPI record last updated?

The NPPES record for Marybeth Wicker was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.