Allan Benjamin Wicks, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

6146A Issued in WY

Practice address

1230 E 1St St
Casper, WY 82601-2704

Phone

(307) 266-3174

Fax

(307) 261-6713

NPI assigned

May 31, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WY

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

Cardiovascular Disease (Cardiology)

Education

Temple University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyoming Cardiopulmonary Services PCGroup PAC ID 9830172261, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Niobrara County Hospital District Hospital, Lusk, WY, CCN 531314
• Platte County Hospital Hospital, Wheatland, WY, CCN 531305

Merit-based Incentive Payment System (MIPS)

Final score

93.72 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

79.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awicks@wcps.allscriptsdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
• Direct secure messaging: allan.wicks@direct.wyomingmedicalcenter.org
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10047848

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

• Wyoming Cardiopulmonary Services, PC

  • Cardiovascular Disease Physician
  • Casper, WY
  • NPI 1992866560
  Medicare reassignment Care Compare group NPD
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Niobrara County Hospital District

  • Critical Access Hospital
  • Lusk, WY
  • NPI 1427091347
  Care Compare affiliation
• Platte County Hospital

  • Critical Access Hospital
  • Guernsey, WY
  • NPI 1265469506
  Care Compare affiliation
• Platte County Memorial Nursing Home

  • Skilled Nursing Facility
  • Wheatland, WY
  • NPI 1003951518

  Hospital

  Care Compare affiliation
• Riverton Memorial Hospital LLC

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1497792402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "307-266-3174",
            "fax_number": "307-261-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "307-266-3174",
            "fax_number": "307-261-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "ALLAN",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "6146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060050550",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "304682",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "034644",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113648800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Tyler Whitson
• Kayla Lynn Whitson, MD
• Cassandra Mae Wickett
• Shayla Marie Wickett, DPT
• Linda Gail Wicklund
• Patrick Wicks III, PATRICK
• Marissa Widiker
• Debra Wilcher, LPC
• Wildflower Case Management
• Jennifer Ann Wilkinson, RN

• Cardiovascular Disease Physician in Casper, WY
• Providers in Casper, WY by specialty
• Cardiovascular Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.