DR. GARY JOHN VICIK (M.D.) – Specialist, NPI 1295708212
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. GARY JOHN VICIK (M.D.)
3608, West Main Street, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
BELLEVILLE, IL 622266225
Phone: (618) 397-6605
Fax: (618) 277-1251
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)
CMS reports 193 Open Payments records for all available years, with a total value of $3,146.
Total Amount is formed as General ($3,146) + Research ($0) + Ownership ($0) = $3,146.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($804).
Total Amount
$3,146
General + Research + Ownership
Payments
193
Total payment records
General Amount
$3,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $804 |
| E.R. Squibb & Sons, L.L.C. | $335 |
| Novartis Pharmaceuticals Corporation | $197 |
| Dermavant Sciences, Inc. | $178 |
| Janssen Biotech, Inc. | $176 |
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: 2007-10-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071004000528 | I | Dermatology | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,378 | 206 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 791 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 765 | 539 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 727 | 35 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 704 | 34 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL |
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