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Individual provider Active NPI

Andrew B Wickline, MD

  • Orthopaedic Surgery Physician
  • New Hartford, NY
National Provider Identifier
1669459970
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
211832 Issued in NY
Practice address
4401 Middle Settlement Rd
Suite 201
New Hartford, NY 13413-5331
Phone
(315) 735-4496
Fax
(315) 735-7066
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 211832 NY Primary

Addresses

Primary practice location

4401 Middle Settlement Rd
Suite 201
New Hartford, NY 13413-5331

Mailing address

4401 Middle Settlement Rd
Suite 201
New Hartford, NY 13413-5331
Phone (315) 735-4496

Other identifiers 1

IdentifierTypeStateIssuer
02237869MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000462 NY Practitioner - Orthopedic Surgery 0547303364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Orthopedics and Hand Surgery Associates PCGroup PAC ID 0941343768, 13 clinicians

Practice addresses (Care Compare)

4401 Middle Settlement Rd
Suite 102
New Hartford, NY 13413-5332
Phone (315) 735-4496

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
79.61
Promoting interoperability
94
Improvement activities
40
Cost
91.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement130
Knee replacement224
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211832NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Orthopedics & Hand Surgery Associates PC Orthopaedic Surgery CurrentSince Aug 1, 2002 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

4401 Middle Settlement Rd
Ste 201
New Hartford, NY 13413
Phone (315) 735-4496

4401 Middle Settlement Rd
Ste 102
New Hartford, NY 13413
Phone (315) 735-4496

Organizations & group practices 3

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1669459970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD",
            "address_2": "SUITE 201",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135331",
            "telephone_number": "315-735-4496",
            "fax_number": "315-735-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD",
            "address_2": "SUITE 201",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135331",
            "telephone_number": "315-735-4496",
            "fax_number": "315-735-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLINE",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "211832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02237869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.