CRAIG A VICKSTROM M.D
NPI 1265541486
Family Medicine in Hibbing, MN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
3605 MAYFAIR AVE, HIBBING, MN 55746(218) 262-3441(906) 524-5126 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig A Vickstrom M.d NPPES

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

CRAIG A VICKSTROM M.D (NPI 1265541486) is an individual family medicine provider in Hibbing, Minnesota, licensed in Michigan (4301086855) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baraga County Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1992).

NPPES Registry Identity

NPI1265541486
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRAIG A VICKSTROMCredential: M.D
Location Address3605 MAYFAIR AVEHibbing, MN 55746-2935
Mailing Address3605 Mayfair AveHibbing, MN 55746-2935 · (218) 262-3441 · Fax (906) 524-5126
Fax(906) 524-5126
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1992
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 13, 2013
NPI 1265541486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301086855
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3605 MAYFAIR AVE, Hibbing, MN 55746

Other Identifiers 7

Medicare PINON52150MI
Medicare UPINH78904
Other010Z760020 CV086855Blue Cross - Er Services
Medicare ID-Type UnspecifiedZ76002019Er Services
Medicaid4795539MI
Other080Z710040 CV086855MI · Blue Cross - Office
Medicaid4797112MI

Accepted Insurance

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

Craig A Vickstrom M.d 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 ID42101727
PECOS Enrollment IDI20051205000721
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services28 patients

Hospital Affiliations CMS Care Compare

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

Baraga County Memorial Hospital

Critical Access Hospitals · L' Anse, MI
OwnershipGovernment - Local
CMS Certification Number231307
Location18341 Us Highway 41L' Anse, MI 49946 · Baraga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55746 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 3

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

Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers14 claims369 services$0.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers19 claims19 services$35.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers26 claims52 services$2.10 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.

Internal Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Pediatrics
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner (Adult Health)
3605 MAYFAIR AVE, FAIRVIEW MESABA CLINIC
HIBBING, MN 55746
Obstetrics & Gynecology
3605 MAYFAIR AVE, MESABA CLINICS
HIBBING, MN 55746
Pharmacy (Community/Retail Pharmacy)
3605 MAYFAIR AVE
HIBBING, MN 55746
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
Nurse Practitioner
3605 MAYFAIR AVE
HIBBING, MN 55746

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 Craig Vickstrom's NPI number?

The NPI number for Craig Vickstrom is 1265541486. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Craig Vickstrom located?

Craig Vickstrom practices at 3605 Mayfair Ave, Hibbing, MN 55746. The listed phone number is (218) 262-3441.

What is Craig Vickstrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Vickstrom enrolled in Medicare?

Yes. Craig Vickstrom 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.

What insurance does Craig Vickstrom accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Craig Vickstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Craig Vickstrom affiliated with any hospitals?

According to CMS data, Craig Vickstrom is affiliated with Baraga County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Craig Vickstrom was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.