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JEANNIE M VICKERY DDS
NPI 1265769780
Dentist - Prosthodontics in Indianapolis, IN

Active since November 04, 2009PECOS Enrolled
1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 46202(317) 278-3632(317) 274-2603 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeannie M Vickery Dds NPPES

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

JEANNIE M VICKERY DDS (NPI 1265769780) is an individual prosthodontics provider in Indianapolis, Indiana, licensed in Indiana (12007392A) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265769780
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameJEANNIE M VICKERYCredential: DDS
Location Address1121 W MICHIGAN STREET, DS307BIndianapolis, IN 46202-5186
Mailing Address1121 W Michigan Street, Ds307bIndianapolis, IN 46202-5186 · (317) 278-3632 · Fax (317) 274-2603
Phone(317) 278-3632
Fax(317) 274-2603
Sole ProprietorYes
Enumeration DateNovember 4, 2009
Last NPPES UpdateNovember 3, 2016
✔ NPI 1265769780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in IN · 12007392A
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1121 W MICHIGAN STREET, Indianapolis, IN 46202
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Other Identifiers 1

Other12007392AIndiana Dental License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannie M Vickery Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 9

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

DR. THOMAS G BARRICK DDS
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Marion County (317) 896-5143
DR. DEAN MORTON DDS
Dentist (Prosthodontics)
1121 W MICHIGAN STREET, S-408
INDIANAPOLIS, IN 46202
Marion County (317) 274-5576
DR. BROOKE N ADAMS DDS
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Marion County (615) 373-8001
DR. LARRY A CRISAFULLI DDS
Dentist (General Practice)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Marion County (317) 278-3632
DR. PAUL C. EDWARDS DDS
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN STREET
INDIANAPOLIS, IN 46202
Marion County (317) 274-5628
DR. DANIEL S BENNETT DDS
Dentist (General Practice)
1121 W MICHIGAN STREET, DS 307B
INDIANAPOLIS, IN 46202
Marion County (317) 278-3632
ESPERANZA MARTINEZ MIER DDS, MSD, PHD
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Marion County (317) 278-3632
DR. DANIEL EDWARD SHIN DDS
Dentist (Periodontics)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Marion County (317) 278-3632

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 Jeannie Vickery's NPI number?

The NPI number for Jeannie Vickery is 1265769780. It was assigned to this individual provider in the NPPES registry on November 4, 2009.

Where is Jeannie Vickery located?

Jeannie Vickery practices at 1121 W Michigan Street Ds307b, Indianapolis, IN 46202. The listed phone number is (317) 278-3632.

What is Jeannie Vickery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Jeannie Vickery enrolled in Medicare?

Yes. Jeannie Vickery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannie Vickery was last updated on November 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.