DR. EDMOND P III WICKHAM (M.D.) – Pediatric Endocrinology Physician, NPI 1477566545
Pediatric Endocrinology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
244 ENDOCRINOLOGY in VA
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Provider Addresses for DR. EDMOND P III WICKHAM (M.D.)
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
PEDIATRICS
RICHMOND, VA 232985051
Phone: (804) 828-9696
Fax: (804) 828-8389
Type: Location
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,529.
Total Amount is formed as General ($1,529) + Research ($0) + Ownership ($0) = $1,529.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Novo Nordisk Inc ($1,529).
Total Amount
$1,529
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,529
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $1,529 |
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: 2004-08-31
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 |
|---|---|---|---|---|
| I20040831000945 | I | Endocrinology | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 42 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 29 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
| 83036 | Hemoglobin a1c level | 15 | 11 | $0 |
Insurance plans in this area (ZIP 23298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Radiation Oncology | VA | |
| O T O L A R Y N G O L O G Y | VA |
Reviews
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