Active NPI 1053461632 Individual Practitioner Female Practitioner

Kristin K. Wickstrom , PA

Physician Assistant • Barre, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kristin Wickstrom, PA is a certified Physician Assistant practicing in Barre, MA. With approximately 20 years of clinical experience since completing medical education in 2006, Kristin Wickstrom delivers high-quality medical care to the local community at 151 WORCESTER RD.

Kristin Wickstrom is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

151 Worcester Rd
Barre Family Health Center

Barre, MA 010059002

Telephone 9783556321

Fax 9783556329

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Group Inc Facility NPI 1760445373

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Barre, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +12.3 yrs vs City Avg

City Avg: 7.7 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Barre, MA (4746 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickstrom (20 Years) 20 Yrs

Barre Specialty Average (7.7 Years) 7.7 Yrs

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	255	155	$445.00	$63.45
99213 Established patient office or other outpatient visit, typically 15 minutes	117	101	$300.00	$60.33
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	52	37	$47.00	$13.92
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$316.00	$76.66

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	226	160	$409.61	$70.50
99213 Established patient office or other outpatient visit, typically 15 minutes	172	133	$281.44	$56.93
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$271.83	$56.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	15	$66.00	$7.00

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	276	195	$359.00	$70.50
99213 Established patient office or other outpatient visit, typically 15 minutes	161	125	$244.00	$60.67
99442 Telephone medical discussion with physician, 11-20 minutes	49	42	$263.00	$58.81
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	23	$66.00	$7.27

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	315	199	$353.68	$71.09
99213 Established patient office or other outpatient visit, typically 15 minutes	83	73	$241.83	$57.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	29	$66.00	$7.38
99442 Telephone medical discussion with physician, 11-20 minutes	31	31	$263.00	$60.29

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	292	171	$316.00	$70.97
99213 Established patient office or other outpatient visit, typically 15 minutes	79	65	$214.00	$46.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	26	$66.00	$7.62
99442 Telephone medical discussion with physician, 11-20 minutes	27	22	$231.89	$46.36

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	320	208	$313.94	$69.57
99213 Established patient office or other outpatient visit, typically 15 minutes	83	71	$212.37	$45.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	45	29	$65.89	$7.26

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	282	176	$296.00	$69.23
99213 Established patient office or other outpatient visit, typically 15 minutes	89	72	$199.00	$45.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	24	$61.00	$6.04

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	240	166	$296.00	$68.22
99213 Established patient office or other outpatient visit, typically 15 minutes	122	105	$199.00	$44.37

Medical Specialties & State Licenses

CMS Verified: 2020-10-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA2210

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

151 Worcester Rd, Barre, MA 010059002

Phone: 9783556321

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

34 Associated Practitioners

Dr. Pamela Grimaldi , DO

Family Medicine

NPI 1023010402

Doctor of Osteopathic Medicine (D.O.)

Efrosini Konomi , PA-C

Physician Assistant

NPI 1033088976

Physician Assistant (Certified)

Dr. Julia Fleet , DO

Family Medicine

NPI 1063850758

Doctor of Osteopathic Medicine (D.O.)

Dr. Brett Lehner , MD

Family Medicine

NPI 1093392748

Doctor of Medicine (M.D.)

Dr. Viviane Rutabingwa , MD

Student in an Organized Health Care Education/Training Program

NPI 1114601929

Doctor of Medicine (M.D.)

Dr. Daniel Mullin , PsyD

Psychologist - Clinical

NPI 1134378029

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2013

Registered at 151 WORCESTER RD, BARRE FAMILY HEALTH CENTER, BARRE, MA 010059002 (Tel: 9783556321)

📍

Updated Business Mailing Address March 04, 2013

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 04, 2013

Recorded as KRISTIN WICKSTROM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2013

Physician Assistant (License #PA2210 in MA)

🟢

Initial NPI Registration & Enumeration January 12, 2007

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: 1053461632

Entity Type:

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

Enumeration Date: January 12, 2007

Last Update: October 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.