SUSAN JILL VICKERY DO
NPI 1932802816
Internal Medicine in Tulsa, OK

Q: What is Susan Vickery's NPI number?

The NPI number for Susan Vickery is 1932802816. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Susan Vickery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Vickery was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 March 22, 2023PECOS Enrolled

6161 S YALE AVE, TULSA, OK 74136(918) 502-1900(918) 494-6303 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jun 13, 2024, Mar 22, 2023 (3 updates tracked since 2023).

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About Susan Jill Vickery Do NPPES

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

SUSAN JILL VICKERY DO (NPI 1932802816) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (8597) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1932802816

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSAN JILL VICKERYCredential: DO

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address4600 Inverness Run DrJonesboro, AR 72405-8056 · (870) 476-9905

Phone(918) 502-1900

Fax(918) 494-6303

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1932802816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OK · 8597

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6161 S YALE AVE, Tulsa, OK 74136

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Secondary Practice Location 1

Location 1744 W 9th StTulsa, OK 74127-9907 · Phone (918) 584-5337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Jill Vickery Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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