DR. RAMON OMAR VICENCIO MD
NPI 1083292130
Family Medicine - Sports Medicine in Philadelphia, PA

Q: What is Ramon Vicencio's NPI number?

The NPI number for Ramon Vicencio is 1083292130. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Ramon Vicencio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ramon Vicencio was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

10 SHURS LN, PHILADELPHIA, PA 19127(215) 482-1234(215) 482-0465 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Jan 16, 2026, Jul 11, 2024 and 2 more (5 updates tracked since 2021).

On this page

About Dr. Ramon Omar Vicencio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAMON OMAR VICENCIO MD (NPI 1083292130) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484891) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083292130

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. RAMON OMAR VICENCIOCredential: MD

Location Address10 SHURS LNPhiladelphia, PA 19127-2123

Mailing Address3509 N Broad St # APhiladelphia, PA 19140-4105 · (215) 707-2433

Phone(215) 482-1234

Fax(215) 482-0465

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 31, 2021

Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1083292130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in PA · MD484891

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

10 SHURS LN, Philadelphia, PA 19127

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ramon Omar Vicencio Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092116186

PECOS Enrollment IDI20240618003371

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390026

Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$8.39 avg. paid by Medicare

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825

DME-Wheelchairs · category DD009N

1 supplier11 claims11 services$124.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SONIA CLARE JOHNSON M.D.

Family Medicine

10 SHURS LN, SUITE 301
PHILADELPHIA, PA 19127

Philadelphia County (215) 967-1632

CELIA EZIDIEGWU MD

Family Medicine

10 SHURS LN, SUITE 301
PHILADELPHIA, PA 19127

Philadelphia County (215) 967-1632

JULIEANNE HLAVAC MD

Family Medicine

10 SHURS LN, SUITE 203
PHILADELPHIA, PA 19127

Philadelphia County (215) 482-1234

KATHERINE HISTEN I

Physical Therapist

10 SHURS LN, SUITE 101
PHILADELPHIA, PA 19127

Philadelphia County (267) 437-2486

DR. BARRY BRENT SIMMONS JR. M.D.

Family Medicine

10 SHURS LN, SUITE 301
PHILADELPHIA, PA 19127

Philadelphia County (215) 482-1234

STEVEN L ZINN MD

Internal Medicine

10 SHURS LN, SUITE 203
PHILADELPHIA, PA 19127

Philadelphia County (215) 482-1234

TARIQ SHIVJI M.D.

Family Medicine

10 SHURS LN, SUITE 206
PHILADELPHIA, PA 19127

Philadelphia County (215) 967-1632

PATRICK R BYRNE D.O.

Family Medicine

10 SHURS LN
PHILADELPHIA, PA 19127

Philadelphia County (215) 967-1632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ramon Vicencio's NPI number?

The NPI number for Ramon Vicencio is 1083292130. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Ramon Vicencio located?

Ramon Vicencio practices at 10 Shurs Ln, Philadelphia, PA 19127. The listed phone number is (215) 482-1234.

What is Ramon Vicencio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ramon Vicencio enrolled in Medicare?

Yes. Ramon Vicencio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ramon Vicencio affiliated with any hospitals?

According to CMS data, Ramon Vicencio is affiliated with Temple Health - Chestnut Hill Hospital.

When was this NPI record last updated?

The NPPES record for Ramon Vicencio was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.