DR. RODERICK PAUL ZICKLER (MD) – Plastic Surgery Physician, NPI 1285718361
Plastic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
394 PLASTIC AND RECONSTRUCTIVE SURGERY in PA
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Provider Addresses for DR. RODERICK PAUL ZICKLER (MD)
2807, North Front Street, Uptown, Harrisburg, Dauphin County, Pennsylvania, 17110, United States
HARRISBURG, PA 171101222
Phone: (717) 233-4691
Fax: (717) 233-8836
Type: Location
100 N ACADEMY AVE STE 205
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Kerecis Limited ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $19 |
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: 2016-08-26
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 |
|---|---|---|---|---|
| I20160826000573 | I | Plastic And Reconstructive Surgery | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Hospitalist | NY | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | PA | |
| Physician Assistant | DE | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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