DR. GARY JOHN VICIK M.D. NPI 1295708212

NPI Details

DR. Gary John Vicik, M.D. is a specialist in Belleville, IL with 56 years of experience. The provider is 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. DR. Gary John Vicik, M.D. NPI is 1295708212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

3608 W MAIN ST
BELLEVILLE, IL
ZIP 62226-225
Phone: (618) 397-6605
Fax: (618) 277-1251

The NPI 1295708212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
• Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
• Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Radiation treatment management, 5 treatment sessions (HCPCS:77427)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Continuing radiation therapy consultation per week (HCPCS:77336)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Calculation of radiation therapy dose (HCPCS:77300)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Simple radiation therapy planning (HCPCS:77261)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Design and construction of complex radiation treatment device (HCPCS:77334)
• Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
• Design and construction of simple radiation treatment device (HCPCS:77332)
• Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:17271)
• Acne surgery (HCPCS:10040)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:17272)
• Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:17281)
• Punch biopsy, first skin growth (HCPCS:11104)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.