DR. GARY JOHN VICIK M.D.
NPI 1295708212
Specialist in Belleville, IL

Q: What is Gary Vicik's NPI number?

The NPI number for Gary Vicik is 1295708212. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Gary Vicik's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Vicik was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 09, 2006PECOS Enrolled

75/100

CMS Quality Rating

3608 W MAIN ST, BELLEVILLE, IL 62226(618) 397-6605(618) 277-1251 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Gary John Vicik M.d. NPPES

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

DR. GARY JOHN VICIK M.D. (NPI 1295708212) is an individual specialist in Belleville, Illinois, licensed in Illinois (36-49185) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295708212

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GARY JOHN VICIKCredential: M.D.

Location Address3608 W MAIN STBelleville, IL 62226-6225

Mailing Address3608 W Main StBelleville, IL 62226-6225 · (618) 397-6605 · Fax (618) 277-1251

Phone(618) 397-6605

Fax(618) 277-1251

Sole ProprietorNo

Enumeration DateFebruary 9, 2006

Last NPPES UpdateMay 21, 2012

✔ NPI 1295708212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 36-49185

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3608 W MAIN ST, Belleville, IL 62226

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Other Identifiers 12

Other11512Essence

Other42561V34432Advantra

Other101263Healthlink

Other202982Great West

Medicare UPINC35063IL

Other8215117IL · Blue Shield

Medicare ID-Type Unspecified231410IL

Other42561V34432Group Health Plan

Medicare ID-Type Unspecified791071011Railroad Medicare

Medicaid036049185IL

Other0778106Aetna

OtherSTL0307017United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary John Vicik M.d. 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 Reassignment

Medicare enrollment records show Gary Vicik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermassociates Ltd

Same address

Specialist

3608 W MAIN ST
Belleville, IL 62226

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1942273974 (618) 397-6605

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

Areas of Expertise CMS Part B claims 28

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,379 services198 patients

Ultrasonic guidance for placement of radiation therapy fields G6001

Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.

810 services35 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

764 services34 patients

Superficial and/or low voltage radiation treatment delivery 77401

Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.

739 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

627 services429 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

352 services261 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

348 services229 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

263 services206 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

186 services164 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

182 services167 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

120 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

91 services91 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

51 services43 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

49 services41 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

44 services37 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

37 services35 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

36 services32 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

34 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

29 services16 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

26 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

26 services26 patients

Simple radiation therapy planning 77261

Simple radiation therapy planning is a process to determine the exact area on your body where the radiation will be directed. It involves imaging studies like CT scans to precisely target the disease, minimizing harm to healthy tissue. It's a crucial step in your treatment journey.

25 services25 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

22 services20 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 17281

This procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.

18 services15 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 17271

This procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.

15 services12 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 17280

This is a procedure where a small cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth is removed. The growth is 0.5 cm or less. The aim is to eliminate the cancer and prevent it from spreading. It's a common, safe method to treat skin cancer.

15 services15 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

12 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

WILLIAM LAY

Pharmacy (Community/Retail Pharmacy)

3608 W MAIN ST
BELLEVILLE, IL 62226

St. Clair County (618) 277-4050

DERMASSOCIATES LTD

Specialist

3608 W MAIN ST
BELLEVILLE, IL 62226

St. Clair County (618) 397-6605

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 Gary Vicik's NPI number?

The NPI number for Gary Vicik is 1295708212. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Gary Vicik located?

Gary Vicik practices at 3608 W Main St, Belleville, IL 62226. The listed phone number is (618) 397-6605.

What is Gary Vicik's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gary Vicik enrolled in Medicare?

Yes. Gary Vicik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Vicik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Vicik reassigns Medicare benefits to Dermassociates Ltd (Belleville, IL). The 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 Gary Vicik'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 Gary Vicik was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.