NEIL E WICKHAM (MD) – Family Medicine Physician, NPI 1811974934

NEIL E WICKHAM (MD) is a healthcare provider. based in Cedar falls, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 31935 (IA). The NPI Number for NEIL E WICKHAM (MD) is 1811974934

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
NEIL E WICKHAM (MD)
NPI
1811974934
Phone
(319) 553-0828
Address
4612 Prairie Parkway
Enumeration Date
29 December 2005
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
6800887233
Group Practice PAC ID
0244148732
Professional Enrollment ID
I20050822001375
Address ID
IA507025401WA3421XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for NEIL E WICKHAM (MD)

  • 4612 Prairie Parkway

    Cedar Falls, IA 50613

    Phone: (319) 553-0828

    Type: Location

  • Prairie Parkway, Cedar Falls, Black Hawk County, Iowa, 52613, United States

    CEDAR FALLS, IA 50613

    Phone: (319) 553-0828

    Type: Mailing

  • 2055 KIMBALL AVE STE 400

    WATERLOO, IA 507025047

    Phone: (319) 272-0000

    Fax: (319) 272-1329

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-08-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050822001375IFamily PracticeIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample156116$0
99213Established patient office or other outpatient visit, 20-29 minutes154132$0
99214Established patient office or other outpatient visit, 30-39 minutes5346$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
71046X-ray of chest, 2 views2524$0
View full utilization report →

Insurance plans in this area (ZIP 50613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244148732View full group profile
NameSpecialtyState
-IA
Gastroenterology, Internal MedicineIA
Nurse PractitionerIA
-IA
Nurse PractitionerIA
Physician AssistantIA
-IN
Orthopedic SurgeryIA
Family PracticeIA
Family PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm NEIL E WICKHAM (MD)'s NPI?
Yes. NEIL E WICKHAM (MD) is listed with NPI 1811974934 in the public NPI dataset.
Can I rely on NEIL E WICKHAM (MD) being an active provider?
As of the registry snapshot, NEIL E WICKHAM (MD) is marked active.
What is NEIL E WICKHAM (MD)'s primary classification?
Family Medicine Physician is the headline specialty for NEIL E WICKHAM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for NEIL E WICKHAM (MD)?
NEIL E WICKHAM (MD)'s geographic hint is Cedar Falls, Iowa in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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