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DR. NICOLE GEORGANN VICCARI MD
NPI 1346224839
Radiology - Diagnostic Radiology in Mequon, WI

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
81.58/100
CMS Quality Rating
10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092(262) 292-3151(414) 434-0467 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2023, Feb 18, 2020, Jan 25, 2019 (3 updates tracked since 2019).

About Dr. Nicole Georgann Viccari Md NPPES

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

DR. NICOLE GEORGANN VICCARI MD (NPI 1346224839) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Wisconsin (70321) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Loma Linda University School Of Medicine (2002).

NPPES Registry Identity

NPI1346224839
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICOLE GEORGANN VICCARICredential: MD
Location Address10945 N PORT WASHINGTON RD STE 201Mequon, WI 53092-5078
Mailing Address10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078 · (262) 292-3151
Phone(262) 292-3151
Fax(414) 434-0467
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateNovember 30, 2005
Last NPPES UpdateNovember 17, 20233 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1346224839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 70321
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10945 N PORT WASHINGTON RD STE 201, Mequon, WI 53092
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Dr. Nicole Georgann Viccari 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 ID8628218476
PECOS Enrollment IDI20190104001782
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

4

Medicare enrollment records show Nicole Viccari reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Precision Radiology - Illinois Ltd
Same address
Specialist
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 59 clinicians in this Medicare group
NPI 1265156640 (262) 292-3151
Wisconsin Radiology Specialists, S C
0.1 mi
Specialist
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Premier Radiology Wisconsin LLC
  • 237 clinicians in this Medicare group
NPI 1568446003 (262) 292-3151
Wisconsin Radiology Specialists, S C
0.1 mi
Specialist
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
  • 44 clinicians in this Medicare group
NPI 1568446003 (262) 292-3151
Columbia St. Mary's Hospital Milwaukee, Inc
2.8 mi
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1710928221 (414) 270-4932

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 11

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
202 services202 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
201 services201 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
53 services51 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
47 services47 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
47 services47 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
42 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

81.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.95
Improvement Activities40
Cost41.55

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%339 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TIMOTHY L WORKMAN M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (262) 292-3151
JOHN TOMASHEK M.D.
Radiology (Vascular & Interventional Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (262) 292-3151
ERIC M DORN M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (414) 434-0461
CYNTHIA RICE M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (414) 434-0461
DJERRICK CU TAN M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (262) 292-3151
BENJAMIN BROGHAMMER M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (414) 434-0461
MICHAEL BRAUN M.D.
Radiology (Diagnostic Radiology)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (414) 434-0461
JOCELYN MARIE SEPPALA PA
Physician Assistant
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092
Ozaukee County (262) 292-3151

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 Nicole Viccari's NPI number?

The NPI number for Nicole Viccari is 1346224839. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Nicole Viccari located?

Nicole Viccari practices at 10945 N Port Washington Rd Ste 201, Mequon, WI 53092. The listed phone number is (262) 292-3151.

What is Nicole Viccari's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Viccari enrolled in Medicare?

Yes. Nicole Viccari 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 Nicole Viccari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Viccari reassigns Medicare benefits to 4 organizations: Precision Radiology - Illinois Ltd (Mequon, WI), Wisconsin Radiology Specialists, S C (Mequon, WI), Wisconsin Radiology Specialists, S C (Mequon, WI) and Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI). 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 Nicole Viccari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Viccari accept?

Health plans from CareSource (Common Ground Healthcare) list Nicole Viccari 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 Nicole Viccari affiliated with any hospitals?

According to CMS data, Nicole Viccari is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Viccari was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.