EDGAR M VIZCAINO (M.D.) – Psychiatry Physician, NPI 1003867763

EDGAR M VIZCAINO (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD450044 (PA). The NPI Number for EDGAR M VIZCAINO (M.D.) is 1003867763

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR M VIZCAINO (M.D.)
NPI
1003867763
Phone
(494) 221-9136
Address
2030 W TILGHMAN ST
Enumeration Date
15 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105412309
Graduation Year
1990 (36 years ago)
PAC ID
7416922687
Group Practice PAC ID
2769659945
Professional Enrollment ID
I20131114001086
Address ID
PA195221408FL24XXXSTXX400
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

1,871 PSYCHIATRY in PA

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Provider Addresses for EDGAR M VIZCAINO (M.D.)

  • Tilghman Street, Allentown, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181044354

    Phone: (494) 221-9136

    Fax: (484) 221-9130

    Type: Mailing

  • Lehigh Valley Community Mental Health Centers, 865, East 4th Street, South Side, South Terrace, Bethlehem, Northampton County, Pennsylvania, 18015, United States

    BETHLEHEM, PA 180151935

    Phone: (484) 221-9136

    Fax: (484) 221-9130

    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: 2013-11-14

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
I20131114001086IPsychiatryPATBD

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
90837Psychotherapy, 1 hour46627$0
90834Psychotherapy, 45 minutes10421$0
99213Established patient office or other outpatient visit, 20-29 minutes9813$0
View full utilization report →

Insurance plans in this area (ZIP 18104)

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Provider's Procedures

EDGAR M VIZCAINO (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYPA90792Psychiatric diagnostic evaluation with medical services2424

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: 2769659945View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Clinical PsychologistPA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical Social WorkerPA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA

Reviews

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Frequently asked questions

How do I look up EDGAR M VIZCAINO (M.D.) by NPI?
Use NPI 1003867763 when you need to reference EDGAR M VIZCAINO (M.D.) in forms, claims, or directories.
Is EDGAR M VIZCAINO (M.D.) active in the national directory?
EDGAR M VIZCAINO (M.D.)'s public NPI profile is in an active state.
Can you summarize EDGAR M VIZCAINO (M.D.)'s specialty in plain language?
Clinically, the directory lists EDGAR M VIZCAINO (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place EDGAR M VIZCAINO (M.D.)?
The snapshot lists Allentown, Pennsylvania for EDGAR M VIZCAINO (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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