Ricky Duane Wilkerson, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DO-02193 Issued in IA

Practice address

901 Montgomery St
Decorah, IA 52101

Phone

(563) 382-2911

NPI assigned

May 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

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 2

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ricky.wilkerson@avera.sdhealthlink.net
• Direct secure messaging: rwilkerson161713@uihcdirect.org

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.

• Spencer Municipal Hospital

  • Clinic/Center
  • Milford, IA
  • NPI 1396732186
  Medicare reassignment Care Compare group NPD
• Avera Holy Family

  • Critical Access Hospital
  • Estherville, IA
  • NPI 1508810177
  Medicare reassignment NPD
• Lakes Regional Healthcare

  • Emergency Medicine Physician
  • Spirit Lake, IA
  • NPI 1336291160
  Medicare reassignment NPD
• Lakes Regional Healthcare

  • Clinic/Center
  • Spirit Lake, IA
  • NPI 1558904417
  NPD
• Spencer Municipal Hospital

  • Clinic/Center
  • Hartley, IA
  • NPI 1225767338
  NPD
• Spencer Municipal Hospital

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1316432826
  NPD
• Spencer Municipal Hospital

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1578108478
  NPD

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

• Spencer Municipal Hospital

  • Rural Acute Care Hospital
  • Spencer, IA
  • NPI 1255328621
  Care Compare affiliation
• Spencer Municipal Hospital

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1578108478

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  • Family Medicine Physician
  • Spencer, IA
  • NPI 1780062273

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  • Otolaryngology Physician
  • Spencer, IA
  • NPI 1821619479

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1528061264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "52101",
            "telephone_number": "563-382-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "RICKY",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "66249",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "DO-02193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul G Wenner, M.D.
• Rachel Werges
• White Drug Enterprises Inc
• Daniel S Wientzen, DO
• Chad Michael Wikan, CADC
• Wilmes Dental, Inc.
• John E Wilmes, DDS
• Andrea Gail Wilson, PA
• Winneshiek Medical Center
• Winneshiek Medical Center

• Orthopaedic Surgery Physician in Decorah, IA
• Providers in Decorah, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.