Doctor profile · Federal record
Dr. Nicholas Wickersham, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Boulder, CO
- NPI 1396867222
- Accepts Medicare
- 23 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1100 Balsam Ave
Boulder, CO 803043404
(303) 532-3500 - Additional location
-
4747 Arapahoe Ave
Boulder, CO 803031131
(877) 465-0012 - Mailing address
-
42 Garden Ctr
Broomfield, CO 800201730
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- March 15, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Colorado #47842
- Medicaid
- CO #07101759
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396867222. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,447
Distinct HCPCS
10
Medicare allowed
$131,549
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 342 | 300 | $9 | |
77063 |
Screening 3d breast mammography | 207 | 207 | $29 | |
77067 |
Screening mammography | 207 | 207 | $37 | |
77085 |
Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment | 173 | 173 | $15 | |
77092 |
Interpretation of trabecular bone score (tbs) and report on fracture risk | 172 | 172 | $10 | |
71046 |
X-ray of chest, 2 views | 169 | 161 | $11 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 163 | 158 | $88 | |
70450 |
Ct scan head or brain without contrast | 156 | 150 | $40 | |
72197 |
Mri scan of pelvis before and after contrast | 107 | 107 | $105 | |
71275 |
Ct scan of blood vessels of chest with contrast | 96 | 95 | $87 |
In context: peer comparison
Among 8 peers in Boulder Diagnostic Radiology Physician, average services per provider: 53. This provider delivers 65× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Heartflow, INC. | 1 | $20.30 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Wickersham's medical specialty?
Dr. Nicholas Wickersham practices Diagnostic Radiology Physician in Boulder, CO.
Where does Dr. Nicholas Wickersham practice?
Dr. Nicholas Wickersham practices at 1100 Balsam Ave, Boulder, CO 803043404. Office phone: 3035323500.
What is Dr. Nicholas Wickersham's NPI?
Dr. Nicholas Wickersham's National Provider Identifier (NPI) is 1396867222, issued by NPPES.
Does Dr. Nicholas Wickersham accept Medicare assignment?
Yes. Dr. Nicholas Wickersham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicholas Wickersham commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Screening 3d breast mammography (HCPCS 77063); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.