Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEIL E WICKHAM MD
NPI 1811974934
Family Medicine in Cedar Falls, IA

Q: What is Neil Wickham's NPI number?

The NPI number for Neil Wickham is 1811974934. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Neil Wickham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Neil Wickham was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

226 BLUEBELL RD, STE CC, CEDAR FALLS, IA 50613(319) 575-5800(319) 575-5855 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Apr 4, 2023 (2 updates tracked since 2023).

On this page

About Neil E Wickham Md NPPES

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

NEIL E WICKHAM MD (NPI 1811974934) is an individual family medicine provider in Cedar Falls, Iowa, licensed in Iowa (31935) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and maintains a secondary practice location in Waterloo.

NPPES Registry Identity

NPI1811974934

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNEIL E WICKHAMCredential: MD

Location Address226 BLUEBELL RD, STE CCCedar Falls, IA 50613-6328

Mailing Address3421 W 9th StWaterloo, IA 50702-5401 · (319) 272-7304

Phone(319) 575-5800

Fax(319) 575-5855

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996

Enumeration DateDecember 29, 2005

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1811974934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 31935

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

226 BLUEBELL RD, Cedar Falls, IA 50613

Open in Google Maps ↗

Secondary Practice Location 1

Location 12055 Kimball Ave Ste 400Waterloo, IA 50702-5047 · Phone (319) 272-0000 · Fax (319) 272-1329

Other Identifiers 4

Medicaid1811974934IA

Medicaid2140343IA

OtherP00287732IA · Rr Medicare

Medicaid3140343IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Neil E Wickham Md 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 ID6800887233

PECOS Enrollment IDI20050822001375

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.

Medicare Billing Reassignments

Medicare enrollment records show Neil Wickham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Center Inc

5.5 mi

Emergency Medicine

3421 W 9TH ST
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
271 clinicians in this Medicare group

NPI 1528009545 (319) 272-7600

Mercy Care Management, Inc

52 mi

Family Medicine

5264 COUNCIL ST NE, SUITE 100
Cedar Rapids, IA 52402

Reassigned Medicare billing, Iowa enrollment
60 clinicians in this Medicare group

NPI 1467659268 (319) 369-4798

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

134 services111 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

86 services60 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number160040

Location515 College StreetCedar Falls, IA 50613 · Black Hawk County

Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50613 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 17

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

DR. JAYASAKTHI PALANIAPPAN MD

Family Medicine