JAIME WICKS (MD) – Neuroradiology Physician, NPI 1164801346

JAIME WICKS (MD) is a healthcare provider. based in Fort worth, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 88295 (GA). The NPI Number for JAIME WICKS (MD) is 1164801346

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JAIME WICKS (MD)
NPI
1164801346
Phone
(817) 321-0404
Address
1320 S UNIVERSITY DR STE 500
Enumeration Date
21 May 2015
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
4047787525
Graduation Year
2015 (11 years ago)
PAC ID
9537479795
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20210526002668
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for JAIME WICKS (MD)

  • 1320 S UNIVERSITY DR STE 500

    FORT WORTH, TX 761075732

    Phone: (817) 321-0404

    Type: Mailing

  • 815 Pennsylvania Ave

    Fort Worth, TX 761042294

    Phone: (817) 321-0404

    Type: Location

  • 1364 CLIFTON RD NE STE BG20

    ATLANTA, GA 303221001

    Phone: (404) 712-4596

    Type: Mailing

  • 759 CHESTNUT ST

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Boston Scientific Corporation ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

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: 2021-05-26

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
I20210526002668IDiagnostic RadiologyGATBD

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
70491Ct scan of soft tissue of neck with contrast153152$0
70553Mri scan of brain before and after contrast150148$0
70450Ct scan head or brain without contrast8776$0
70551Mri scan of brain without contrast5454$0
70486Ct scan of face without contrast4141$0
View full utilization report →

Insurance plans in this area (ZIP 76107)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for JAIME WICKS (MD) in U.S. healthcare records?
The official identifier for JAIME WICKS (MD) is NPI 1164801346.
Would JAIME WICKS (MD) appear as active to a payer?
You can treat JAIME WICKS (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JAIME WICKS (MD)?
JAIME WICKS (MD)'s specialty line reads Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is JAIME WICKS (MD) registered?
Use Fort Worth, Texas as the headline location for JAIME WICKS (MD) here.
When was this NPI issued?
Enumeration for JAIME WICKS (MD) is noted as May 21, 2015 where the registry provides it.

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