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

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

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 and is a graduate of Saint Louis University School Of Medicine (1969).

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
Fax(618) 277-1251
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1969
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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary John Vicik 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 ID8123113230
PECOS Enrollment IDI20071004000528
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 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

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.

Pharmacy (Community/Retail Pharmacy)
3608 W MAIN ST
BELLEVILLE, IL 62226
Specialist
3608 W MAIN ST
BELLEVILLE, IL 62226

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 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 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.