MICHAEL R. VICENTE (M.D.) – Psychiatry Physician, NPI 1669486619
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 PSYCHIATRY in WI
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Provider Addresses for MICHAEL R. VICENTE (M.D.)
220, Washington Avenue, River East, Oshkosh, Winnebago County, Wisconsin, 54901, United States
OSHKOSH, WI 549015030
Phone: (920) 236-4700
Fax: (920) 236-1157
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)
CMS reports 9 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($100).
Total Amount
$257
General + Research + Ownership
Payments
9
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $100 |
| ABBVIE INC. | $68 |
| Alkermes, Inc. | $33 |
| Indivior Inc. | $19 |
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2010-03-06
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 |
|---|---|---|---|---|
| I20100306000165 | I | Psychiatry | WI | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 190 | 72 | $0 |
Insurance plans in this area (ZIP 54901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Mental Health Counselor | WI | |
| P S Y C H I A T R Y | WI | |
| Mental Health Counselor | WI | |
| Nurse Practitioner | WI | |
| - | WI |
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