DR. KYLE RAYNOR WICOMB
NPI 1558865147
Internal Medicine in Elmhurst, NY

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
72.51/100
CMS Quality Rating
7901 BROADWAY # A1-16, ELMHURST, NY 11373(718) 334-2488 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2023, Mar 20, 2018 (2 updates tracked since 2018).

About Dr. Kyle Raynor Wicomb NPPES

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

DR. KYLE RAYNOR WICOMB (NPI 1558865147) is an individual internal medicine provider in Elmhurst, New York, licensed in California (A176702) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558865147
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KYLE RAYNOR WICOMB
Location Address7901 BROADWAY # A1-16Elmhurst, NY 11373-1329
Mailing Address2016 N 10th St Apt 3El Centro, CA 92243-4462 · (808) 747-6349
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1558865147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A176702
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7901 BROADWAY # A1-16, Elmhurst, NY 11373

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. Kyle Raynor Wicomb 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 ID9133467061
PECOS Enrollment IDI20220816003265
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
317 services286 patients
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.
96 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

72.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.65
Cost71.52

Other Providers at the Same Location NPPES 6

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

Internal Medicine
7901 BROADWAY # A1-16
ELMHURST, NY 11373
Student in an Organized Health Care Education/Training Program
7901 BROADWAY # A1-16
ELMHURST, NY 11373
Internal Medicine
7901 BROADWAY # A1-16
ELMHURST, NY 11373
Internal Medicine (Gastroenterology)
7901 BROADWAY # A1-16
ELMHURST, NY 11373
Internal Medicine (Rheumatology)
7901 BROADWAY # A1-16
ELMHURST, NY 11373
Student in an Organized Health Care Education/Training Program
7901 BROADWAY # A1-16
ELMHURST, NY 11373

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 Wicomb's NPI number?

The NPI number for Kyle Wicomb is 1558865147. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Kyle Wicomb located?

Kyle Wicomb practices at 7901 Broadway # A1-16, Elmhurst, NY 11373. The listed phone number is (718) 334-2488.

What is Kyle Wicomb's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyle Wicomb enrolled in Medicare?

Yes. Kyle Wicomb 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.

When was this NPI record last updated?

The NPPES record for Kyle Wicomb was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.