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DR. SELWYN MAURICE VICKERS MD
NPI 1215964754
Surgery in New York, NY

Active since June 28, 2006PECOS Enrolled
1275 YORK AVE STE M-110, NEW YORK, NY 10065(212) 639-6561(212) 717-3299 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Selwyn Maurice Vickers Md NPPES

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

DR. SELWYN MAURICE VICKERS MD (NPI 1215964754) is an individual surgery provider in New York, New York, licensed in Alabama (18186) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215964754
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SELWYN MAURICE VICKERSCredential: MD
Location Address1275 YORK AVE STE M-110New York, NY 10065-6007
Mailing Address1275 York Ave Ste M-110New York, NY 10065-6007 · (212) 639-6561 · Fax (212) 717-3299
Phone(212) 639-6561
Fax(212) 717-3299
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1215964754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AL · 18186✔ Licensed in MN · 49253
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 18186 (AL)
1275 YORK AVE STE M-110, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Selwyn Maurice Vickers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Selwyn Vickers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mskcc Surgery Group
Same address
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 clinicians in this Medicare group
NPI 1699766261 (646) 227-3813
University Of Alabama Health Services Foundation, PC
857 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Selwyn Vickers's NPI number?

The NPI number for Selwyn Vickers is 1215964754. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Selwyn Vickers located?

Selwyn Vickers practices at 1275 York Ave Ste M-110, New York, NY 10065. The listed phone number is (212) 639-6561.

What is Selwyn Vickers's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Selwyn Vickers enrolled in Medicare?

Yes. Selwyn Vickers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Selwyn Vickers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selwyn Vickers reassigns Medicare benefits to 2 organizations: Mskcc Surgery Group (New York, NY) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Selwyn Vickers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Selwyn Vickers was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.