CAREY WICKHAM
NPI 1750820007
Colon & Rectal Surgery in Portland, OR
About Carey Wickham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAREY WICKHAM (NPI 1750820007) is an individual colon & rectal surgery provider in Portland, Oregon, licensed in Oregon (MD212636) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Beaverton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Carey Wickham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carey Wickham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 338 clinicians in this Medicare group
Portland, OR 97210
- Reassigned Medicare billing, Oregon and Washington enrollments
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORLegacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97213
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 Carey Wickham's NPI number?
The NPI number for Carey Wickham is 1750820007. It was assigned to this individual provider in the NPPES registry on February 20, 2017.
Where is Carey Wickham located?
Carey Wickham practices at 4805 NE Glisan St Ste 6n60, Portland, OR 97213. The listed phone number is (503) 281-0561.
What is Carey Wickham's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Carey Wickham enrolled in Medicare?
Yes. Carey Wickham 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 Carey Wickham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carey Wickham reassigns Medicare benefits to 2 organizations: The Oregon Clinic PC (Portland, OR) and Northwest Minimally Invasive Surgery, LLC (Portland, OR). 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 Carey Wickham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carey Wickham accept?
Health plans from Moda Health Plan, Inc. list Carey Wickham 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 Carey Wickham affiliated with any hospitals?
According to CMS data, Carey Wickham is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center and Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Carey Wickham was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Carey Wickham · NPI 1750820007
Colon & Rectal Surgery physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 20, 2017.
## Identity
- **NPI:** 1750820007 (Entity type: Individual)
- **Enumerated:** February 20, 2017
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** MD212636 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4805 NE GLISAN ST STE 6N60, Portland, OR 97213-2933
- **Phone:** (503) 281-0561 · **Fax:** (503) 416-7377
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Oregon Clinic PC (NPI 1265417174, Portland, OR); Northwest Minimally Invasive Surgery, LLC (NPI 1386168029, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** April 21, 2026
- **Other identifiers:** Medicaid 2232453 (WA); Medicaid 500810902 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750820007) · Data from the CMS NPPES public registry.