MR. BOYD ROY JR. WICKIZER (M.D.) – Emergency Medicine Physician, NPI 1750330353
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,497 EMERGENCY MEDICINE in VA
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Provider Addresses for MR. BOYD ROY JR. WICKIZER (M.D.)
PO BOX 446
MIDLOTHIAN, VA 231130446
Phone: (804) 858-3998
Fax: (804) 765-6250
Type: Mailing
Southside Regional Medical Center, 200, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States
PETERSBURG, VA 238059274
Phone: (804) 765-5949
Fax: (804) 765-6250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Next Science LLC ($196).
Total Amount
$385
General + Research + Ownership
Payments
13
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Next Science LLC | $196 |
| Organogenesis Inc. | $68 |
| Paratek Pharmaceuticals, Inc. | $37 |
| Smith+Nephew, Inc. | $35 |
| ABBVIE INC. | $23 |
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: 2008-10-28
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 |
|---|---|---|---|---|
| I20081028000321 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 568 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 332 | 58 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 288 | 64 | $0 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 77 | 12 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 70 | 31 | $0 |
Insurance plans in this area (ZIP 23113)
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