MICHAEL K VISICK (MD) – Internal Medicine Physician, NPI 1225048648
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHAEL K VISICK (MD)
1350 North, Logan, Cache County, Utah, 84321, United States
Logan, UT 843412400
Phone: (435) 716-1940
Type: Location
PO BOX 27128
SLC, UT 841270128
Phone: (435) 716-1940
Type: Mailing
506 LAKE ST
KENAI, AK 996116937
Phone: (907) 714-4111
Fax: (844) 412-3952
Type: Location
1350, North 500 East, Logan, Cache County, Utah, 84341, United States
LOGAN, UT 843412400
Phone: (435) 792-1990
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: 2023-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080721000459 | I | Internal Medicine | UT | TBD |
| I20231228003645 | I | Pediatric Medicine | AK | 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 84341)
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