DR. NICOLE GEORGANN VICCARI (MD) – Diagnostic Radiology Physician, NPI 1346224839
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for DR. NICOLE GEORGANN VICCARI (MD)
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 530925078
Phone: (262) 292-3151
Fax: (414) 434-0467
Mailing address matches the actual address.
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.
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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: 2024-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170125000674 | I | Diagnostic Radiology | TX | TBD |
| I20190104001782 | I | Diagnostic Radiology | WI | TBD |
| I20240304000032 | I | Diagnostic Radiology | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 322 | 322 | $0 |
| 77063 | Screening 3d breast mammography | 321 | 321 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 72 | 62 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 69 | 66 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 49 | 49 | $0 |
Insurance plans in this area (ZIP 53092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | MA | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Nuclear Medicine, Diagnostic Radiology | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Interventional Radiology, Diagnostic Radiology | WI |
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