Doctor profile · Federal record
Dr. Otto Wickstrom, M.D.
Orthopaedic Hand Surgery Physician (CMS: Hand Surgery) · Orthopaedic Surgery Physician · Specialist · Bloomington, IN
- NPI 1487826939
- Accepts Medicare
- 23 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
583 S Clarizz Blvd
Bloomington, IN 474015515
(812) 333-2663
fax (812) 349-9206 - Additional location
-
16528 E Desmet CT
Spokane Valley, WA 992163522
(509) 944-8920
fax (509) 227-7070
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- April 29, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207XS0106X — NUCC code
- State licenses (2)
- Washington #MD61074238 · Indiana #01065381A
- Medicaid
- IN #200931500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487826939. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
171
Distinct HCPCS
6
Medicare allowed
$22,619
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 80 | 71 | $118 | |
26055 |
Incision of tendon covering of finger | 22 | 15 | $209 | |
64721 |
Release and/or relocation of hand nerve | 21 | 20 | $316 | |
73130 |
X-ray of hand, minimum of 3 views | 21 | 20 | $42 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 14 | 12 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 13 | 12 | $84 |
In context: peer comparison
Among 1 peers in Bloomington Orthopaedic Hand Surgery Physician, average services per provider: 28. This provider delivers 6.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
74
Patients
68
Total drug cost
$488
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 53 | 48 | $369 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 21 | 20 | $120 |
Hospital affiliations
Frequently asked questions
What is Dr. Otto Wickstrom's medical specialty?
Dr. Otto Wickstrom practices Orthopaedic Hand Surgery Physician in Bloomington, IN.
Where does Dr. Otto Wickstrom practice?
Dr. Otto Wickstrom practices at 583 S Clarizz Blvd, Bloomington, IN 474015515. Office phone: 8123332663.
What is Dr. Otto Wickstrom's NPI?
Dr. Otto Wickstrom's National Provider Identifier (NPI) is 1487826939, issued by NPPES.
Does Dr. Otto Wickstrom accept Medicare assignment?
Yes. Dr. Otto Wickstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Otto Wickstrom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Incision of tendon covering of finger (HCPCS 26055); Release and/or relocation of hand nerve (HCPCS 64721). Source: CMS Medicare Physician & Other Practitioners file.