RYAN VICKERY MD
NPI 1669647970
Anesthesiology in Indianapolis, IN

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
61.07/100
CMS Quality Rating
8155 BOWLINE DR, INDIANAPOLIS, IN 46236(317) 823-6133 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Vickery Md NPPES

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

RYAN VICKERY MD (NPI 1669647970) is an individual anesthesiology provider in Indianapolis, Indiana, licensed in Indiana (01065049A) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Indiana University School Of Medicine (2005).

NPPES Registry Identity

NPI1669647970
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameRYAN VICKERYCredential: MD
Location Address8155 BOWLINE DRIndianapolis, IN 46236-8417
Mailing Address8155 Bowline DrIndianapolis, IN 46236-8417 · (317) 823-6133
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2005
Enumeration DateApril 28, 2008
NPI 1669647970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in IN · 01065049A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
8155 BOWLINE DR, Indianapolis, IN 46236

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

Ryan Vickery 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 ID6406906312
PECOS Enrollment IDI20090616000333
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.

Hospital Affiliations CMS Care Compare 4

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150047
Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County
Emergency services

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

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.

61.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.2
Improvement Activities40

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 Ryan Vickery's NPI number?

The NPI number for Ryan Vickery is 1669647970. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Ryan Vickery located?

Ryan Vickery practices at 8155 Bowline Dr, Indianapolis, IN 46236. The listed phone number is (317) 823-6133.

What is Ryan Vickery's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ryan Vickery enrolled in Medicare?

Yes. Ryan Vickery 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.

Is Ryan Vickery affiliated with any hospitals?

According to CMS data, Ryan Vickery is affiliated with Lutheran Hospital Of Indiana, St Joseph Health System, LLC, Dupont Hospital LLC and The Orthopaedic Hospital Of Lutheran Health Networ.

When was this NPI record last updated?

The NPPES record for Ryan Vickery was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.