CONOR MORAN VICKERS MD
NPI 1245890524
Dermatology in Philadelphia, PA

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
333 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 728-2191(215) 214-3992 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Oct 7, 2024, Jun 19, 2019 (3 updates tracked since 2019).

About Conor Moran Vickers Md NPPES

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

CONOR MORAN VICKERS MD (NPI 1245890524) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480075) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1245890524
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCONOR MORAN VICKERSCredential: MD
Location Address333 COTTMAN AVEPhiladelphia, PA 19111-2434
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-2433
Fax(215) 214-3992
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1245890524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD480075
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
333 COTTMAN AVE, Philadelphia, PA 19111

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Conor Moran Vickers 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 ID6305269465
PECOS Enrollment IDI20250821001500
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111

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 Conor Vickers's NPI number?

The NPI number for Conor Vickers is 1245890524. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Conor Vickers located?

Conor Vickers practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-2191.

What is Conor Vickers's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Conor Vickers enrolled in Medicare?

Yes. Conor Vickers 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.

When was this NPI record last updated?

The NPPES record for Conor Vickers 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.