Pendleton Brewster Wickersham, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

M3113 Issued in TX

Practice address

4511 Horizon Hill Blvd
Suite 150
San Antonio, TX 78229-2263

Phone

(210) 477-2626

Fax

(210) 477-2650

NPI assigned

Mar 14, 2006

Last updated

Feb 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

RheumatologyAlso: Internal Medicine

Education

Baylor College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arthritis Associates, P.a.Group PAC ID 0244339083, 6 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score

90.03 of 100Reported as group

Quality

98.25

Improvement activities

40

Cost

69.1

Merit-based Incentive Payment System (MIPS)

Final score

86.12 of 100Reported as group

Quality

74.76

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDJIBA/Endpoint/BDJIBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arthritis Associates, P.a.

  • Medical Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1689729295
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1053380048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292263",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292263",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERSHAM",
        "first_name": "PENDLETON",
        "middle_name": "BREWSTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M3113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Wiatrek, O.D.
• Kirsten Leigh Wiatrek
• Zachary Austin Wiberg, DO
• Keith Allen Wichinski, MSN, PMC,FNP-C, RN
• Beth Ann Wichman, MD
• Nicolette Anne Wickes
• Stephanie Wickizer, RN
• Matthew Paul Wicklund, M.D.
• Betty Wicks, PSYD
• Catherine Widder, L.C.S.W.

• Rheumatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.