DR. MICHAEL BRIAN VICKERS (DPM) – Podiatrist, NPI 1336208321
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL BRIAN VICKERS (DPM)
4520 42ND AVE SW STE 34
SEATTLE, WA 981164240
Phone: (206) 937-4700
Fax: (206) 937-4778
Type: Location
Proliance Orthopedic Associates, 4361, Talbot Road South, Renton, King County, Washington, 98055, United States
112
RENTON, WA 980556226
Phone: (425) 255-5111
Fax: (425) 254-0985
Type: Location
4361, Talbot Road South, Renton, King County, Washington, 98055, United States
SUITE #112
RENTON, WA 980556226
Phone: (425) 255-5111
Fax: (425) 254-0985
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: 2007-11-28
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 |
|---|---|---|---|---|
| I20071128000124 | I | Podiatry | WA | 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 98116)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | WA | 73630 | X-ray of foot, minimum of 3 views | 95 | 56 |
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