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NEIL E WICKHAM MD
NPI 1811974934
Family Medicine in Waterloo, IA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
2055 KIMBALL AVE STE 400, WATERLOO, IA 50702(319) 272-0000(319) 272-1329 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Waterloo, 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 Cedar Falls.

NPPES Registry Identity

NPI1811974934
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNEIL E WICKHAMCredential: MD
Location Address2055 KIMBALL AVE STE 400Waterloo, IA 50702-5047
Mailing Address2055 Kimball Ave Ste 400Waterloo, IA 50702-5047 · (319) 272-0000 · Fax (319) 272-1329
Phone(319) 272-0000
Fax(319) 272-1329
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateDecember 29, 2005
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ 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.
2055 KIMBALL AVE STE 400, Waterloo, IA 50702
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Secondary Practice Location 1

Location 14612 Prairie ParkwayCedar Falls, IA 50613 · Phone (319) 553-0828

Other Identifiers 4

Medicaid1811974934IA
Medicaid2140343IA
OtherP00287732IA · Rr Medicare
Medicaid3140343IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

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.

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 50702 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 3

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

DANIEL JAY LEISINGER D.O.
Family Medicine
2055 KIMBALL AVE STE 400
WATERLOO, IA 50702
Black Hawk County (319) 272-0000
DR. MITCHEL L. BERNSTROM M.D.
Family Medicine
2055 KIMBALL AVE STE 400
WATERLOO, IA 50702
Black Hawk County (319) 272-0000
KYLIE LOUISE BUNDT PA-C
Physician Assistant
2055 KIMBALL AVE STE 400
WATERLOO, IA 50702
Black Hawk County (319) 272-0000

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 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.

Where is Neil Wickham located?

Neil Wickham practices at 2055 Kimball Ave Ste 400, Waterloo, IA 50702. The listed phone number is (319) 272-0000.

What is Neil Wickham's specialty?

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

Is Neil Wickham enrolled in Medicare?

Yes. Neil 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.

What insurance does Neil Wickham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Neil 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 Neil Wickham affiliated with any hospitals?

According to CMS data, Neil Wickham is affiliated with Sartori Memorial Hospital, Inc and Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Neil Wickham was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.