Nicholas Wendell Wickersham, M.D.

NPI 1396867222ActiveIndividual· Radiology, Diagnostic Radiology· Boulder, CO

Radiology, Diagnostic Radiology (M.D.) in Boulder, Colorado, trained at University of Washington School of Medicine (class of 2003). Medicare paid $114,713 for services to 2,673 patients in 2024. Heartflow, Inc. reported $20.30 in payments in 2024, mostly food and beverage.

Overview

NPI	1396867222
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	Yes
NPI issued	Apr 3, 2007
Last updated in NPPES	Mar 15, 2021
Certified by provider	Mar 15, 2021

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	47842	CO

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Diagnostic Radiology (CO)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	2,673
Services billed	4,508 across 167 procedure codes
Paid by Medicare	$114,713

Medicare sources and data years

Education and affiliations

Medical school	University of Washington School of Medicine
Graduation year	2003
Medicare specialty	Diagnostic Radiology
Secondary specialties	Interventional Radiology, Nuclear Medicine