Active NPI 1225058902 Individual Practitioner Female Practitioner

Bonnie Beth Wickham , PA

Physician Assistant • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bonnie Wickham, PA is a certified Physician Assistant practicing in Bend, OR. With approximately 21 years of clinical experience since completing medical education in 2005, Bonnie Wickham delivers high-quality medical care to the local community at 61250 SE COOMBS PL.

Bonnie Wickham is affiliated with St Charles Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

61250 Se Coombs Pl

Bend, OR 977023704

Telephone 5417065930

Fax 5417065931

Associated Practice Facility / Clinic

🏢 St. Charles Health System, Inc. Facility NPI 1578422622

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +8.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

186 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate

29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickham (21 Years) 21 Yrs

Bend Specialty Average (12.5 Years) 12.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$253.63	$80.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	66	$140.00	$60.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	15	$6.00	$1.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	16	$47.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	25	$50.00	$13.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$207.00	$89.93
36415 Insertion of needle into vein for collection of blood sample	17	15	$8.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	81	53	$8.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	76	63	$140.00	$59.42
84443 Blood test, thyroid stimulating hormone (TSH)	38	36	$86.00	$20.33
80053 Blood test, comprehensive group of blood chemicals	35	33	$67.00	$12.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$207.00	$84.62
83036 Hemoglobin A1C level	31	26	$58.00	$11.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	28	$34.00	$9.40
80061 Blood test, lipids (cholesterol and triglycerides)	27	25	$81.00	$15.73
82306 Vitamin d-3 level	16	12	$196.00	$35.82
80048 Blood test, basic group of blood chemicals (calcium, total)	13	11	$56.00	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	57	44	$3.09	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	34	$110.41	$87.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	29	$10.65	$10.44
80053 Blood test, comprehensive group of blood chemicals	30	27	$16.22	$12.81
84443 Blood test, thyroid stimulating hormone (TSH)	29	28	$23.03	$22.57
99495 Transitional care management services for problem of at least moderate complexity	25	25	$158.52	$132.67
83036 Hemoglobin A1C level	24	21	$17.04	$13.04
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$70.81	$59.34
80061 Blood test, lipids (cholesterol and triglycerides)	16	16	$26.18	$14.67

Medical Specialties & State Licenses

CMS Verified: 2026-06-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04799

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

St Charles Health System Inc

51781 Huntington Rd, La Pine, OR 977391118

Phone: 5416667920

St Charles Health System Inc

211 Nw Larch Ave, Redmond, OR 977561357

Phone: 5415482164

St Charles Health System Inc

61250 Se Coombs Pl, Bend, OR 977023704

Phone: 5417065935

Secondary Practice Locations

12039 E Maple Springs Way

Palmer, AK 996459797

Phone: 9077459088

402 W 26th St

San Angelo, TX 769032826

Phone: 3256581511

Practice Associates & Co-Workers

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

20 Associated Practitioners

Alicia Stearns , PA-C

Physician Assistant

NPI 1144853169

Physician Assistant (Certified)

Kacie Talcott , FNP

Nurse Practitioner - Family

NPI 1154707669

Family Nurse Practitioner

Kevin Dombey

Physician Assistant

NPI 1184273708

Dr. Albert Lilly , MD

Emergency Medicine

NPI 1285677955

Doctor of Medicine (M.D.)

Joshua Scott , PA-C

Physician Assistant

NPI 1376099184

Physician Assistant (Certified)

Julianna Curtis , FNP

Nurse Practitioner - Family

NPI 1407574288

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location December 03, 2024

Registered at 61250 SE COOMBS PL, BEND, OR 977023704 (Tel: 5417065930)

✅

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2016

Registered at 402 W 26TH ST, SAN ANGELO, TX 769032826 (Tel: 3256581511)

📍

Updated Business Mailing Address August 15, 2016

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤

Provider Name / Credentials Updated August 15, 2016

Recorded as BONNIE WICKHAM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Physician Assistant (License #PA04799 in TX)

🟢

Initial NPI Registration & Enumeration July 19, 2006

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: 1225058902

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: June 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

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.