Doctor profile · Federal record
Dr. Kelly Wickstrom, D.O.
Critical Care Medicine (Internal Medicine) Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Internal Medicine Physician · Pulmonary Disease Physician · Tucson, AZ
- NPI 1083092589
- Accepts Medicare
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5301 E Grant RD
Tucson, AZ 857122805
(520) 324-5696
fax (520) 324-1583 - Mailing address
-
1501 N Campbell Ave Rm 6336, Box 245040
Tucson, AZ 857245040
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- April 29, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207RC0200X — NUCC code
- State licenses (2)
- Arizona #008816 · Arizona #R2504
- Medicaid
- AZ #088520
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083092589. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
199
Distinct HCPCS
3
Medicare allowed
$37,459
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 166 | 87 | $207 | |
99292 |
Critical care, each additional 30 minutes | 22 | 18 | $104 | |
99238 |
Hospital discharge day management, 30 minutes or less | 11 | 11 | $78 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 82. This provider delivers 2.4× the peer median.Frequently asked questions
What is Dr. Kelly Wickstrom's medical specialty?
Dr. Kelly Wickstrom practices Critical Care Medicine (Internal Medicine) Physician in Tucson, AZ.
Where does Dr. Kelly Wickstrom practice?
Dr. Kelly Wickstrom practices at 5301 E Grant RD, Tucson, AZ 857122805. Office phone: 5203245696.
What is Dr. Kelly Wickstrom's NPI?
Dr. Kelly Wickstrom's National Provider Identifier (NPI) is 1083092589, issued by NPPES.
Does Dr. Kelly Wickstrom accept Medicare assignment?
Yes. Dr. Kelly Wickstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Wickstrom commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Critical care (HCPCS 99292); Hospital discharge day management (HCPCS 99238). Source: CMS Medicare Physician & Other Practitioners file.