Nicholas Wickersham, M.D.
NPI 1396867222 · Diagnostic Radiology Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Wickersham, M.D. is a Diagnostic Radiology Physician provider in Boulder, CO (NPI 1396867222).
Provider details
- NPI number
- 1396867222
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 47842 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,158 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 435 | $8 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine Including Spine Fracture Assessment77085 | 303 | $14 |
| Screening 3d Breast Mammography77063 | 293 | $28 |
| Screening Mammography77067 | 293 | $35 |
| Interpretation of Trabecular Bone Score (tbs) and Report on Fracture Risk77092 | 292 | $10 |
| X-Ray of Chest, 2 Views71046 | 230 | $10 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 4747 Arapahoe AveBoulder, CO 80303-1131Phone: (877) 465-0012
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Frequently asked questions
- What is Nicholas Wickersham's NPI number?
- Nicholas Wickersham's National Provider Identifier (NPI) is 1396867222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Wickersham's specialty?
- Nicholas Wickersham is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Wickersham located?
- Nicholas Wickersham's practice location on file with NPPES is 1100 Balsam Ave, Boulder, CO 80304-3404.
- What is Nicholas Wickersham's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Wickersham is (303) 532-3500.
- Does Nicholas Wickersham accept Medicare?
- Nicholas Wickersham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Wickersham's NPI active?
- Yes — Nicholas Wickersham's NPI (1396867222) is active in the NPPES registry as of the last update on 2021-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.