ROBERT PETERIS VICKERMAN (MD) – Surgery Physician, NPI 1023085511

ROBERT PETERIS VICKERMAN (MD) is a healthcare provider. based in Greeley, Colorado. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 34611 (TN). The NPI Number for ROBERT PETERIS VICKERMAN (MD) is 1023085511

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT PETERIS VICKERMAN (MD)
NPI
1023085511
Phone
(970) 352-8216
Address
1800 15TH ST
Enumeration Date
2 March 2006
Last Update Date
29 March 2010

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9708204640
Graduation Year
1995 (31 years ago)
PAC ID
1850364795
Group Practice PAC ID
8921273038
Professional Enrollment ID
I20100126000675
Address ID
CO805385006LO2000XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for ROBERT PETERIS VICKERMAN (MD)

  • 1800, 15th Street, Greeley, Weld County, Colorado, 80631, United States

    SUITE 210

    GREELEY, CO 806314500

    Phone: (970) 352-8216

    Fax: (970) 352-5297

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100126000675IGeneral SurgeryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2823$0
99212Established patient office or other outpatient visit, 10-19 minutes2419$0
47563Removal of gallbladder with x-ray study of bile ducts using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 80631)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921273038View full group profile

Reviews

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Frequently asked questions

Is ROBERT PETERIS VICKERMAN (MD) listed with a National Provider Identifier?
Yes — ROBERT PETERIS VICKERMAN (MD) has NPI 1023085511 on file in the registry.
Is ROBERT PETERIS VICKERMAN (MD) still an active registrant?
ROBERT PETERIS VICKERMAN (MD) carries an active NPI according to the public dataset.
How would a patient describe ROBERT PETERIS VICKERMAN (MD)'s focus?
For ROBERT PETERIS VICKERMAN (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT PETERIS VICKERMAN (MD)?
Directory geography for ROBERT PETERIS VICKERMAN (MD) centers on Greeley, Colorado.
Can I trust this NPI listing for ROBERT PETERIS VICKERMAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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