DR. JOHANNA LEE WICKEMEYER MD
NPI 1902337033
Otolaryngology in Berlin, VT

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
130 FISHER RD STE 3-1, BERLIN, VT 05602(802) 225-7025 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Oct 12, 2024, Oct 5, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Johanna Lee Wickemeyer Md NPPES

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

DR. JOHANNA LEE WICKEMEYER MD (NPI 1902337033) is an individual otolaryngology provider in Berlin, Vermont, licensed in Vermont (042.0018725) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902337033
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHANNA LEE WICKEMEYERCredential: MD
Location Address130 FISHER RD STE 3-1Berlin, VT 05602-9000
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 4, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1902337033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in VT · 042.0018725 Licensed in CT · 74545
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 74545 (CT), 042.0018725 (VT)
130 FISHER RD STE 3-1, Berlin, VT 05602

Secondary Practice Locations 2

Location 1800 Howard AveNew Haven, CT 06519-1369 · Phone (203) 785-2467
Location 2111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-0000

Accepted 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

Dr. Johanna Lee Wickemeyer 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 ID9436424751
PECOS Enrollment IDI20231026000982, I20250913000492
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
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.
37 services31 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
20 services19 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.
18 services16 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 7

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

Social Worker
130 FISHER RD STE 3-1
BERLIN, VT 05602
Surgery
130 FISHER RD STE 3-1
BERLIN, VT 05602
Family Medicine
130 FISHER RD STE 3-1
BERLIN, VT 05602
Audiologist
130 FISHER RD STE 3-1
BERLIN, VT 05602
Nurse Practitioner (Family)
130 FISHER RD STE 3-1
BERLIN, VT 05602
Family Medicine
130 FISHER RD STE 3-1, BERLIN FAMILY MEDICINE
BERLIN, VT 05602
Nurse Practitioner (Family)
130 FISHER RD STE 3-1
BERLIN, VT 05602

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 Johanna Wickemeyer's NPI number?

The NPI number for Johanna Wickemeyer is 1902337033. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Johanna Wickemeyer located?

Johanna Wickemeyer practices at 130 Fisher Rd Ste 3-1, Berlin, VT 05602. The listed phone number is (802) 225-7025.

What is Johanna Wickemeyer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Johanna Wickemeyer enrolled in Medicare?

Yes. Johanna Wickemeyer 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 Johanna Wickemeyer accept?

Health plans from Anthem Blue Cross and Blue Shield list Johanna Wickemeyer 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 Johanna Wickemeyer affiliated with any hospitals?

According to CMS data, Johanna Wickemeyer is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Johanna Wickemeyer was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.