EMERSON M. WICKWIRE PH.D.
NPI 1790926434
Psychologist - Clinical in Baltimore, MD
About Emerson M. Wickwire Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERSON M. WICKWIRE PH.D. (NPI 1790926434) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (04597) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Emerson M. Wickwire Ph.d. 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 Reassignment
Medicare enrollment records show Emerson Wickwire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 614 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Emerson Wickwire's NPI number?
The NPI number for Emerson Wickwire is 1790926434. It was assigned to this individual provider in the NPPES registry on March 10, 2009.
Where is Emerson Wickwire located?
Emerson Wickwire practices at 827 Linden Ave, Baltimore, MD 21201. The listed phone number is (410) 328-8141.
What is Emerson Wickwire's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Emerson Wickwire enrolled in Medicare?
Yes. Emerson Wickwire 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 organization bills Medicare for Emerson Wickwire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emerson Wickwire reassigns Medicare benefits to University Of Maryland Physicians PA (Baltimore, MD). The 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 Emerson Wickwire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Emerson Wickwire was last updated on October 30, 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.
# Emerson M. Wickwire, PH.D. · NPI 1790926434
Clinical provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 10, 2009.
## Identity
- **NPI:** 1790926434 (Entity type: Individual)
- **Enumerated:** March 10, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 04597 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 827 LINDEN AVE, Baltimore, MD 21201-4606
- **Phone:** (410) 328-8141 · **Fax:** (410) 328-0177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Maryland Physicians PA (NPI 1144270687, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1790926434) · Data from the CMS NPPES public registry.