DR. TODD A WICAL (DO) – Emergency Medicine Physician, NPI 1164861159

DR. TODD A WICAL (DO) is a healthcare provider. based in Fort campbell, Kentucky. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 04424 (KY). The NPI Number for DR. TODD A WICAL (DO) is 1164861159

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD A WICAL (DO)
NPI
1164861159
Phone
(270) 412-1411
Address
650 JOEL DR
Enumeration Date
23 June 2013
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702599400
Graduation Year
2013 (13 years ago)
PAC ID
0143597948
Group Practice PAC ID
0345588109
Professional Enrollment ID
I20190122003526
Address ID
KY427542414LE910XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,720 FAMILY PRACTICE in KY

Provider Addresses for DR. TODD A WICAL (DO)

  • 650 JOEL DR

    FORT CAMPBELL, KY 422235318

    Phone: (270) 412-1411

    Fax: (270) 412-6802

    Mailing address matches the actual address.

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 $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($35).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-31

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190122003526IFamily PracticeKYTBD
I20191231002138IFamily PracticeTNTBD

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
99284Emergency department visit with moderate level of medical decision making5251$0
99285Emergency department visit with high level of medical decision making4646$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4340$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 42223)

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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: 0345588109View full group profile
NameSpecialtyState
Nurse PractitionerKY
Emergency MedicineWA
Emergency MedicineOH
Emergency MedicineNY
Nurse PractitionerKY
Physician AssistantKY
Family Practice, Family Practice, Emergency Medicine, Emergency MedicineOH
Emergency MedicineIN
Emergency MedicineKY
Internal Medicine, Emergency Medicine, Family Practice, Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

Does DR. TODD A WICAL (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TODD A WICAL (DO) uses 1164861159.
Is DR. TODD A WICAL (DO) listed as active for patients and plans?
The listing shows DR. TODD A WICAL (DO) as active in the NPI system.
What healthcare role does DR. TODD A WICAL (DO) hold?
Scheduling teams often label DR. TODD A WICAL (DO) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TODD A WICAL (DO) based?
DR. TODD A WICAL (DO) is tied to Fort Campbell, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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