DR. COLTER REID WICHERN (MD, MS) – Interventional Cardiology Physician, NPI 1649775388
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
511 INTERVENTIONAL CARDIOLOGY in CA
Loading map...
Provider Addresses for DR. COLTER REID WICHERN (MD, MS)
1100, V Street, Land Park, Sacramento, Sacramento County, California, 95818, United States
SACRAMENTO, CA 958171460
Phone: (916) 734-2737
Type: Mailing
960 16TH ST STE 304
SPRINGFIELD, OR 974774175
Phone: (541) 744-6172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-03-09 • Largest payer in this snapshot: Boston Scientific Corporation ($154).
Total Amount
$184
General + Research + Ownership
Payments
2
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $154 |
| ABIOMED | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250710004356 | I | Interventional Cardiology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95817)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Vascular Surgery | OR | |
| - | WA | |
| Internal Medicine | VT | |
| - | OR | |
| Physician Assistant | CA | |
| Infectious Disease, Internal Medicine | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OR | |
| Cardiovascular Disease (Cardiology) | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.