THAD VICKERY MD
NPI 1689106957
Otolaryngology in South San Francisco, CA
About Thad Vickery Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAD VICKERY MD (NPI 1689106957) is an individual otolaryngology provider in South San Francisco, California, licensed in California (A161158) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Aurora (2017).
NPPES Registry Identity
Specialties & Licenses
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
Thad 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
SOUTH SAN FRANCISCO, CA 94080
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 Thad Vickery's NPI number?
The NPI number for Thad Vickery is 1689106957. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Thad Vickery located?
Thad Vickery practices at 1200 El Camino Real, South San Francisco, CA 94080. The listed phone number is (650) 742-2000.
What is Thad Vickery's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Thad Vickery enrolled in Medicare?
Yes. Thad 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.
When was this NPI record last updated?
The NPPES record for Thad Vickery was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Thad Vickery, MD · NPI 1689106957
Otolaryngology physician in South San Francisco, California. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1689106957 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** A161158 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 EL CAMINO REAL, South San Francisco, CA 94080-3208
- **Phone:** (650) 742-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Colorado School Of Medicine, Aurora, class of 2017
## Record status
- **NPPES last updated:** August 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689106957) · Data from the CMS NPPES public registry.