DR. GREGORY MATHEW WICKERN (M.D.) – Allergy Physician, NPI 1972578672
Allergy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17 ALLERGY/IMMUNOLOGY in ID
Provider Addresses for DR. GREGORY MATHEW WICKERN (M.D.)
800, Falls Avenue, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE #2
TWIN FALLS, ID 833013366
Phone: (208) 734-6091
Fax: (208) 734-4654
Type: Mailing
1502 LOCUST ST N STE 600
TWIN FALLS, ID 833014164
Phone: (208) 734-6091
Fax: (208) 734-4654
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $2,892.
Total Amount is formed as General ($2,892) + Research ($0) + Ownership ($0) = $2,892.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($488).
Total Amount
$2,892
General + Research + Ownership
Payments
129
Total payment records
General Amount
$2,892
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $488 |
| Blueprint Medicines Corporation | $445 |
| Grifols USA, LLC | $443 |
| Regeneron Healthcare Solutions, Inc. | $246 |
| CSL Behring | $216 |
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: 2010-02-22
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 |
|---|---|---|---|---|
| I20090618000502 | I | Allergy/Immunology | ID | TBD |
| I20100222000170 | I | Allergy/Immunology | NV | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,440 | 78 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,128 | 86 | $0 |
| 95004 | Test for allergy using allergenic extract | 935 | 17 | $0 |
| 95115 | Professional service for single injection of allergen | 486 | 36 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 90 | 56 | $0 |
Insurance plans in this area (ZIP 83301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | ID | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 2233 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| A L L E R G Y/ I M M U N O L O G Y | MD | |
| Internal Medicine, Allergy/Immunology | ID | |
| Nurse Practitioner | ID |
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