SUSAN A VICKERMAN (DO) – Family Medicine Physician, NPI 1750383667

SUSAN A VICKERMAN (DO) is a healthcare provider. based in Avon, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 36391 (CO). The NPI Number for SUSAN A VICKERMAN (DO) is 1750383667

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN A VICKERMAN (DO)
NPI
1750383667
Phone
(970) 926-6340
Address
50 BUCK CREEK ROAD
Enumeration Date
10 August 2005
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9709266350
Graduation Year
1995 (31 years ago)
PAC ID
3971537945
Group Practice PAC ID
5496087181
Professional Enrollment ID
I20050920000939
Address ID
CO816205428AV50XXXRDXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for SUSAN A VICKERMAN (DO)

  • Buck Creek Medical Center, 50, Buck Creek Road, Avon, Eagle County, Colorado, 81620, United States

    SUITE 200

    AVON, CO 81620

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • PO BOX 4330

    AVON, CO 816204330

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-20

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
I20050920000939IFamily PracticeCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes250174$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
99215Established patient office or other outpatient visit, 40-54 minutes10480$0
36415Insertion of needle into vein for collection of blood sample8472$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use5050$0
View full utilization report →

Insurance plans in this area (ZIP 81620)

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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: 5496087181View full group profile
NameSpecialtyState
-CO
Family Practice, Emergency MedicineCO
-CO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantWI
-CO
Emergency Medicine, Preventive MedicineCO
Registered Dietitian Or Nutrition ProfessionalCO
-CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I use this page to confirm SUSAN A VICKERMAN (DO)'s NPI?
Yes. SUSAN A VICKERMAN (DO) is listed with NPI 1750383667 in the public NPI dataset.
Does CMS list SUSAN A VICKERMAN (DO) as active?
Yes — SUSAN A VICKERMAN (DO) is active in the NPI listing used on this page.
What taxonomy line describes SUSAN A VICKERMAN (DO)?
For research purposes, treat SUSAN A VICKERMAN (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SUSAN A VICKERMAN (DO) on a map?
Expect Avon, Colorado as a primary anchor for SUSAN A VICKERMAN (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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