DR. CAMERON CONNELLY WICK (MD) – Otolaryngology Physician, NPI 1063737799
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for DR. CAMERON CONNELLY WICK (MD)
660 S EUCLID AVE
CB 8115
SAINT LOUIS, MO 631101010
Phone: (314) 362-7509
Fax: (314) 362-7522
Type: Mailing
4921 PARKVIEW PL
DEPT OTOLARYNGOLOGY, STE 11A
SAINT LOUIS, MO 631101032
Phone: (314) 362-7509
Fax: (314) 362-7522
Type: Location
11100 EUCLID AVE DEPT
CLEVELAND, OH 441061716
Phone: (216) 844-6000
Fax: (216) 286-5794
Type: Location
8819 Commons Blvd Ste 202
Twinsburg, OH 440874103
Phone: (216) 844-6000
Fax: (216) 286-5794
Type: Location
3909 Orange Pl Ste 4100
Beachwood, OH 441224480
Phone: (216) 844-6000
Fax: (216) 286-5794
Type: Location
11100 EUCLID AVE
CLEVELAND, OH 441061716
Phone: (216) 844-6000
Fax: (216) 286-5794
Type: Mailing
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8115
ST. LOUIS, MO 63110
Phone: (314) 362-7509
Type: Mailing
Parkview Place, WashU, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101032
Phone: (314) 362-7509
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $6,359.
Total Amount is formed as General ($6,359) + Research ($0) + Ownership ($0) = $6,359.
Last reported payment date: 2024-12-01 • Largest payer in this snapshot: MED-EL Corporation ($3,143).
Total Amount
$6,359
General + Research + Ownership
Payments
45
Total payment records
General Amount
$6,359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MED-EL Corporation | $3,143 |
| Stryker Corporation | $3,055 |
| 3NT Medical | $125 |
| PFIZER INC. | $35 |
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: 2024-12-04
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 |
|---|---|---|---|---|
| I20241204000305 | I | Otolaryngology | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 221 | $0 |
| 69210 | Removal of impacted ear wax | 165 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 99 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 81 | 81 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| Hospitalist, Internal Medicine | OH | |
| - | TX | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| - | OH |
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