Active NPI 1790946853 Individual Practitioner Female Practitioner

Dr. Danielle Germain Wicklow , MD

Internal Medicine • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Wicklow, MD is a registered healthcare professional specializing in Internal Medicine in Phoenix, AZ. Practice services are available at 1111 E MCDOWELL RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 E Mcdowell Rd
Dept. Of Internal Medicine- Connie Farrington

Phoenix, AZ 850062612

Telephone 6022392296

Associated Practice Facility / Clinic

🏢 Banner Imaging Associates Plc Facility NPI 1124077755

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	185	$308.95	$123.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	224	224	$294.00	$124.98
99213 Established patient office or other outpatient visit, typically 15 minutes	117	97	$218.56	$87.40
90662 Influenza vaccine split virus, preservative free	55	54	$198.71	$81.28
G0008 Administration of influenza virus vaccine	55	54	$51.00	$31.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	15	$37.00	$13.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	32	14	$3.32	$1.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$427.26	$172.60
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$44.00	$13.76
G0009 Administration of pneumococcal vaccine	16	16	$51.00	$31.38
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$739.25	$289.78
81003 Automated urinalysis test	12	12	$7.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	198	$251.00	$121.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$294.00	$124.73
99213 Established patient office or other outpatient visit, typically 15 minutes	114	103	$171.00	$87.53
G0008 Administration of influenza virus vaccine	56	54	$51.00	$29.81
90662 Influenza vaccine split virus, preservative free	54	52	$179.20	$71.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	37	17	$3.96	$1.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	17	$37.00	$12.65
G0009 Administration of pneumococcal vaccine	19	18	$51.00	$29.81
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	17	$718.94	$281.81
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$44.00	$13.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$422.00	$159.90
81003 Automated urinalysis test	15	14	$7.00	$2.20
71046 X-ray of chest, 2 views	12	12	$56.00	$21.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	215	$251.00	$122.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$294.00	$127.11
99213 Established patient office or other outpatient visit, typically 15 minutes	111	87	$171.00	$87.07
G0008 Administration of influenza virus vaccine	66	63	$51.00	$28.54
90662 Influenza vaccine split virus, preservative free	58	58	$170.30	$68.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	15	$37.00	$13.67
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$44.00	$13.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	34	13	$4.39	$1.68
G0009 Administration of pneumococcal vaccine	18	18	$51.00	$28.84
71046 X-ray of chest, 2 views	16	16	$56.00	$20.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$333.80	$132.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$338.00	$176.47
81003 Automated urinalysis test	15	13	$7.00	$2.22
69209 Removal of impacted ear wax by washing	13	12	$37.00	$18.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$422.00	$163.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	210	$251.00	$122.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$294.00	$129.95
99213 Established patient office or other outpatient visit, typically 15 minutes	135	106	$171.00	$88.62
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	60	60	$71.00	$27.29
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	57	57	$43.00	$16.52
G0008 Administration of influenza virus vaccine	48	48	$51.00	$16.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	47	47	$162.34	$66.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	14	$37.00	$11.18
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	14	$4.96	$1.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$311.59	$124.63
G0009 Administration of pneumococcal vaccine	14	14	$51.00	$16.53
69209 Removal of impacted ear wax by washing	12	11	$37.00	$21.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	208	$251.00	$105.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$294.00	$113.90
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$171.00	$72.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	13	$37.00	$12.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	12	$4.95	$1.78
G0009 Administration of pneumococcal vaccine	39	39	$51.00	$16.45
G0008 Administration of influenza virus vaccine	34	33	$51.00	$16.52
99443 Telephone medical discussion with physician, 21-30 minutes	33	20	$103.00	$101.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$295.50	$117.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$152.50	$61.00
71046 X-ray of chest, 2 views	18	18	$56.00	$19.77
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$44.00	$16.75
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$71.00	$70.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	218	$271.00	$105.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$293.00	$113.53
G0008 Administration of influenza virus vaccine	66	65	$51.00	$16.25
90653 Vaccine for influenza for injection into muscle	58	58	$145.11	$58.34
G0009 Administration of pneumococcal vaccine	53	53	$51.00	$16.25
90670 Pneumococcal vaccine for injection into muscle	37	37	$530.10	$207.77
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	35	35	$58.17	$22.96
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$185.00	$72.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	15	$64.00	$15.95
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	14	$4.62	$1.76
90471 Administration of 1 vaccine	28	28	$64.00	$16.36
85610 Blood test, clotting time	21	11	$14.00	$4.12
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$43.00	$16.64
69209 Removal of impacted ear wax by washing	19	18	$33.00	$17.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$273.00	$106.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$416.00	$161.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$281.55	$110.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$419.00	$162.60
81003 Automated urinalysis test	13	11	$8.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	183	$271.00	$104.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$293.00	$113.54
G0008 Administration of influenza virus vaccine	63	63	$51.00	$19.99
90662 Influenza vaccine split virus, preservative free	61	61	$128.42	$52.23
G0009 Administration of pneumococcal vaccine	53	53	$51.00	$19.99
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$185.00	$69.56
90670 Pneumococcal vaccine for injection into muscle	37	37	$500.40	$197.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$273.00	$105.95
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	17	17	$60.16	$23.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$255.49	$105.59
90471 Administration of 1 vaccine	13	13	$64.00	$20.12
69209 Removal of impacted ear wax by washing	13	11	$33.00	$16.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	184	$271.00	$105.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$292.40	$114.02
G0008 Administration of influenza virus vaccine	57	57	$51.00	$25.01
90662 Influenza vaccine split virus, preservative free	54	54	$106.90	$47.94
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$184.23	$72.06
G0009 Administration of pneumococcal vaccine	37	37	$51.00	$25.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$64.00	$25.14
90670 Pneumococcal vaccine for injection into muscle	21	21	$452.70	$186.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$416.00	$161.72
69209 Removal of impacted ear wax by washing	17	15	$33.00	$15.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$224.90	$94.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$365.00	$142.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$273.00	$100.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ 70820

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Gerard Leahy , MD

Hospitalist

NPI 1124255294

Doctor of Medicine (M.D.)

Dr. Nilda Franco , MD

Internal Medicine

NPI 1215164389

Doctor of Medicine (M.D.)

Dr. Hamed Abbaszadegan , MD

Internal Medicine

NPI 1407083579

Doctor of Medicine (M.D.)

Dr. Emily Mallin , MD

Internal Medicine

NPI 1538380977

Doctor of Medicine (M.D.)

Dr. Cheryl O'malley , MD

Internal Medicine

NPI 1588633226

Doctor of Medicine (M.D.)

Dr. Min Kim , DO

Internal Medicine

NPI 1740416346

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2011

Registered at 1111 E MCDOWELL RD, DEPT. OF INTERNAL MEDICINE- CONNIE FARRINGTON, PHOENIX, AZ 850062612 (Tel: 6022392296)

📍

Updated Business Mailing Address September 12, 2011

Registered at 1111 E MCDOWELL RD, DEPT. OF INTERNAL MEDICINE- CONNIE FARRINGTON, PHOENIX, AZ 850062612

👤

Provider Name / Credentials Updated September 12, 2011

Recorded as DANIELLE WICKLOW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Internal Medicine (License #70820 in AZ)

🟢

Initial NPI Registration & Enumeration June 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790946853

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2008

Last Update: September 12, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1111 E Mcdowell Rd, Dept. Of Internal Medicine- Connie Farrington

Phoenix, AZ 850062612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.