DR. MICHAEL VICKERY (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1285675322

DR. MICHAEL VICKERY (D.O.) is a healthcare provider. based in Royal oak, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 02008116A (IN). The NPI Number for DR. MICHAEL VICKERY (D.O.) is 1285675322

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL VICKERY (D.O.)
NPI
1285675322
Phone
Not provided
Address
2724 TRAFFORD RD
Enumeration Date
9 June 2006
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697828681
Graduation Year
1997 (29 years ago)
PAC ID
2365585338
Group Practice PAC ID
9931635430
Professional Enrollment ID
I20100817000262
Address ID
MI490471943DO420XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. MICHAEL VICKERY (D.O.)

  • 2724, Trafford Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480734418

    Phone:

    Type: Mailing

  • Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 483071863

    Phone: (248) 652-5000

    Type: Location

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: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100817000262IEmergency MedicineMITBD
I20241218000587IEmergency MedicineINTBD

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
99284Emergency department visit with moderate level of medical decision making2525$0
99285Emergency department visit with high level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 9931635430View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineKY
Emergency MedicineOK
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineWI
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineIL

Reviews

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Frequently asked questions

What is the registry number for DR. MICHAEL VICKERY (D.O.)?
The registry entry for DR. MICHAEL VICKERY (D.O.) shows NPI 1285675322.
Does the public listing show DR. MICHAEL VICKERY (D.O.) as active?
DR. MICHAEL VICKERY (D.O.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. MICHAEL VICKERY (D.O.) does?
Insurance directories may phrase it differently, but here DR. MICHAEL VICKERY (D.O.) maps to Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL VICKERY (D.O.) tied to Royal Oak, Michigan?
If you are local to Royal Oak, Michigan, DR. MICHAEL VICKERY (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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