DR. GREGORY MATHEW WICKERN M.D. NPI 1972578672

NPI Details

DR. Gregory Mathew Wickern, M.D. is an allergy allergy immunology in Twin Falls, ID with 41 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee DR. Gregory Mathew Wickern, M.D. NPI is 1972578672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1985

The provider's business location address is:

1502 LOCUST ST N STE 600
TWIN FALLS, ID
ZIP 83301-164
Phone: (208) 734-6091
Fax: (208) 734-4654

The NPI 1972578672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
• Professional service for multiple injections of allergen (HCPCS:95117)
• Test for allergy using allergenic extract (HCPCS:95004)
• Professional service for single injection of allergen (HCPCS:95115)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Telehealth originating site facility fee (HCPCS:Q3014)
• Test to measure expiratory airflow and volume (HCPCS:94010)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: