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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONOR MORAN VICKERS MD
NPI 1245890524
Dermatology in Bala Cynwyd, PA

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
225 E CITY AVE STE 225, BALA CYNWYD, PA 19004(484) 989-8700(484) 562-4009 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Jan 29, 2026, Oct 7, 2024 and 1 more (4 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 Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD480075) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, 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 Address225 E CITY AVE STE 225Bala Cynwyd, PA 19004-1704
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-2433
Phone(484) 989-8700
Fax(484) 562-4009
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 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.
225 E CITY AVE STE 225, Bala Cynwyd, PA 19004
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Secondary Practice Location 1

Location 1333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (215) 728-2191 · Fax (215) 214-3992

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Discover Dermatology Institute, LLC
Same address
Dermatology
225 E CITY AVE STE 225
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1487544292 (303) 319-5980
Temple Faculty Practice Plan Inc
3.5 mi
Internal Medicine
3322 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1073095915 (215) 707-1800

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 19004 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

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

DISCOVER DERMATOLOGY INSTITUTE, LLC
Dermatology
225 E CITY AVE STE 225
BALA CYNWYD, PA 19004
Montgomery County (303) 319-5980

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 225 E City Ave Ste 225, Bala Cynwyd, PA 19004. The listed phone number is (484) 989-8700.

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.

Which organizations bill Medicare for Conor Vickers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conor Vickers reassigns Medicare benefits to 2 organizations: Discover Dermatology Institute, LLC (Bala Cynwyd, PA) and Temple Faculty Practice Plan Inc (Philadelphia, PA). 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 Conor 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 Conor Vickers was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.