DR. BRIAN KEITH VICKARYOUS (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1902805575

DR. BRIAN KEITH VICKARYOUS (MD) is a healthcare provider. based in Longwood, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME9748 (FL). The NPI Number for DR. BRIAN KEITH VICKARYOUS (MD) is 1902805575

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN KEITH VICKARYOUS (MD)
NPI
1902805575
Phone
(407) 804-8036
Address
3330 LAKEVIEW OAKS DR
Enumeration Date
18 July 2005
Last Update Date
26 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
6608803945
Group Practice PAC ID
4981986288
Professional Enrollment ID
I20090212000261
Address ID
FL327711013SA1200XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for DR. BRIAN KEITH VICKARYOUS (MD)

  • 3330 LAKEVIEW OAKS DR

    LONGWOOD, FL 327793155

    Phone: (407) 804-8036

    Fax: (407) 895-3608

    Type: Mailing

  • 725 RODEL CV

    LAKE MARY, FL 327464859

    Phone: (407) 977-4130

    Fax: (407) 977-4139

    Type: Mailing

  • 773 STIRLING CENTER PL

    LAKE MARY, FL 327464856

    Phone: (407) 977-4130

    Fax: (407) 977-4139

    Type: Location

  • Florida Hospital Cancer Institute, 2501, North Orange Avenue, Orlando, Orange County, Florida, 32804, United States

    SUITE 340

    ORLANDO, FL 328044603

    Phone: (407) 895-8890

    Fax: (407) 895-3608

    Type: Location

  • 7404 Red Bug Lake Rd

    Oviedo, FL 327657154

    Phone: (407) 977-4130

    Fax: (407) 977-4139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $4,056.

Total Amount is formed as General ($4,056) + Research ($0) + Ownership ($0) = $4,056.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($2,474).

Total Amount

$4,056

General + Research + Ownership

Payments

46

Total payment records

General Amount

$4,056

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2009-02-12

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
I20090212000261IOrthopedic SurgeryFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg747116$0
20610Aspiration and/or injection of fluid from large joint216116$0
99214Established patient office or other outpatient visit, 30-39 minutes204141$0
73030X-ray of shoulder, minimum of 2 views145108$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
View full utilization report →

Insurance plans in this area (ZIP 32779)

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Provider's Procedures

DR. BRIAN KEITH VICKARYOUS (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule8963
ORTHOPEDIC SURGERYFL73562X-ray of knee, 3 views9261

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: 4981986288View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeFL
Hand Surgery, Orthopedic SurgeryCA
Occupational Therapist In Private PracticeGA
-FL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Hand Surgery, Orthopedic Surgery, Hand SurgeryMA
Physician AssistantFL

Reviews

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Frequently asked questions

What NPI should I save for DR. BRIAN KEITH VICKARYOUS (MD)?
Save NPI 1902805575 if you need a stable reference for DR. BRIAN KEITH VICKARYOUS (MD).
Is DR. BRIAN KEITH VICKARYOUS (MD) active in the national directory?
DR. BRIAN KEITH VICKARYOUS (MD)'s public NPI profile is in an active state.
What kind of provider is DR. BRIAN KEITH VICKARYOUS (MD)?
The page reflects Sports Medicine (Orthopaedic Surgery) Physician for DR. BRIAN KEITH VICKARYOUS (MD). Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN KEITH VICKARYOUS (MD)'s primary listing?
We display Longwood, Florida because that is what the record indicates for DR. BRIAN KEITH VICKARYOUS (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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