GARY A VICKERS (DO) – Family Medicine Physician, NPI 1902867633

GARY A VICKERS (DO) is a healthcare provider. based in Saint charles, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 108736 (MO). The NPI Number for GARY A VICKERS (DO) is 1902867633

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GARY A VICKERS (DO)
NPI
1902867633
Phone
(636) 669-2268
Address
1551 WALL ST
Enumeration Date
31 March 2006
Last Update Date
25 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6368988531
Graduation Year
1995 (31 years ago)
PAC ID
6406823889
Group Practice PAC ID
0749441830
Professional Enrollment ID
I20040915000072
Address ID
MO630171810CH15201BLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for GARY A VICKERS (DO)

  • 1551, Wall Street, Saint Charles, Saint Charles County, Missouri, 63303, United States

    SUITE 310

    SAINT CHARLES, MO 633033539

    Phone: (636) 669-2268

    Fax: (314) 209-8127

    Type: Mailing

  • 3555, Sunset Office Drive, Sunset Hills Office Park, Sunset Hills, Saint Louis County, Missouri, 63127, United States

    SUITE C 100

    SAINT LOUIS, MO 631271015

    Phone: (314) 238-9100

    Fax: (314) 238-9110

    Type: Location

  • 224 S WOODS MILL RD STE 435S

    CHESTERFIELD, MO 630173408

    Phone: (314) 576-2394

    Fax: (314) 590-5937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($98).

Total Amount

$325

General + Research + Ownership

Payments

18

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-09-15

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
I20040915000072IFamily PracticeMOTBD

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 minutes932333$0
99204New patient office or other outpatient visit, 45-59 minutes9696$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 63303)

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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: 0749441830View full group profile

Reviews

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Frequently asked questions

Where can patients find GARY A VICKERS (DO)'s NPI?
You can confirm GARY A VICKERS (DO) with NPI 1902867633; it appears in the national provider directory.
Is GARY A VICKERS (DO) currently active in the NPI registry?
CMS-published data lists GARY A VICKERS (DO) as an active registrant.
Can you summarize GARY A VICKERS (DO)'s specialty in plain language?
Clinically, the directory lists GARY A VICKERS (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place GARY A VICKERS (DO)?
The snapshot lists Saint Charles, Missouri for GARY A VICKERS (DO); download NPPES for the complete set.
What if Saint Charles, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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