DALE ALAN WICKSTRUM (MD) – Radiation Oncology Physician, NPI 1306890322
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
494 RADIATION ONCOLOGY in FL
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Provider Addresses for DALE ALAN WICKSTRUM (MD)
PO BOX 14446
TALLAHASSEE, FL 323174446
Phone: (850) 222-4858
Fax: (850) 431-6591
Type: Mailing
2003, Centre Pointe Boulevard, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084893
Phone: (850) 878-2273
Fax: (850) 671-5900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($33).
Total Amount
$71
General + Research + Ownership
Payments
4
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $33 |
| Merck Sharp & Dohme LLC | $23 |
| Progenics Pharmaceuticals, Inc. | $14 |
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: 2020-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20111121000166 | I | Radiation Oncology | FL | TBD |
| I20200122001037 | I | Radiation Oncology | VA | 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 32317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | VA | |
| - | NC | |
| General Practice | TX | |
| Family Practice, Emergency Medicine, Emergency Medicine | VA | |
| Nurse Practitioner | VA | |
| General Surgery, Colorectal Surgery (Proctology) | VA | |
| - | VA | |
| Diagnostic Radiology, Interventional Radiology | FL | |
| Qualified Audiologist | NC | |
| Nurse Practitioner | VA |
Reviews
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