JOSEPH W VICKROY (M.D.) – Neurology Physician, NPI 1104818442

JOSEPH W VICKROY (M.D.) is a healthcare provider. based in Bountiful, Utah. specializing in NEUROLOGY, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 90183895-1205 (UT). The NPI Number for JOSEPH W VICKROY (M.D.) is 1104818442

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH W VICKROY (M.D.)
NPI
1104818442
Phone
(801) 294-6907
Address
PO BOX 307
Enumeration Date
22 August 2005
Last Update Date
16 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
8012687057
Graduation Year
1982 (44 years ago)
PAC ID
2567505647
Professional Enrollment ID
I20100211000716
Address ID
UT841241300SA1200X3900300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

218 NEUROLOGY in UT

Provider Addresses for JOSEPH W VICKROY (M.D.)

  • PO BOX 307

    BOUNTIFUL, UT 840110307

    Phone: (801) 294-6907

    Fax: (801) 294-6917

    Type: Mailing

  • 1200 E 3900 S

    SLC, UT 841241300

    Phone: (801) 294-6907

    Fax: (801) 294-6917

    Type: Location

  • 2708 GALLIVAN LOOP

    PARK CITY, UT 840607074

    Phone: (801) 599-1750

    Fax: (801) 293-6828

    Type: Mailing

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: 2010-02-11

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
I20100211000716INeurologyUTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes554119$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7371$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4727$0
View full utilization report →

Insurance plans in this area (ZIP 84011)

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Reviews

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Frequently asked questions

Does JOSEPH W VICKROY (M.D.) have a public NPI I can cite?
Public records show JOSEPH W VICKROY (M.D.) under NPI 1104818442.
Quick check: is JOSEPH W VICKROY (M.D.) active?
Public NPPES data shows JOSEPH W VICKROY (M.D.) with an active NPI status right now.
Which specialty label fits JOSEPH W VICKROY (M.D.)?
NPPES ties JOSEPH W VICKROY (M.D.) to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JOSEPH W VICKROY (M.D.) tied to Bountiful, Utah?
If you are local to Bountiful, Utah, JOSEPH W VICKROY (M.D.) may be relevant to your search.
Can I export JOSEPH W VICKROY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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