EMERSON M. WICKWIRE PH.D.
NPI 1790926434
Psychologist - Clinical in Baltimore, MD

Active since March 10, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
827 LINDEN AVE, BALTIMORE, MD 21201(410) 328-8141(410) 328-0177 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1790926434
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameEMERSON M. WICKWIRECredential: PH.D.
Location Address827 LINDEN AVEBaltimore, MD 21201-4606
Mailing AddressPo Box 64442Baltimore, MD 21264-4442 · (410) 225-8000
Fax(410) 328-0177
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 10, 2009
Last NPPES UpdateOctober 30, 2019
NPI 1790926434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MD · 04597
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 04597 (MD)
827 LINDEN AVE, Baltimore, MD 21201

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

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.

PECOS PAC ID9133265408
PECOS Enrollment IDI20090930000537
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

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

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.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
827 LINDEN AVE
BALTIMORE, MD 21201
Nurse Practitioner (Adult Health)
827 LINDEN AVE
BALTIMORE, MD 21201
Registered Nurse
827 LINDEN AVE
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine (Gastroenterology)
827 LINDEN AVE
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine
827 LINDEN AVE, BRIDGE SUITE C
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.

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 6 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.