Active NPI 1750475240 Individual Practitioner Male Practitioner

Dr. Joseph P Vickaryous , DO

General Practice • Marco Island, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Vickaryous, DO is a certified General Practice practicing in Marco Island, FL. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Vickaryous delivers high-quality medical care to the local community at 531 BALD EAGLE DR.

Dr. Vickaryous accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

531 Bald Eagle Dr

Marco Island, FL 341452700

Telephone 2393932000

Fax 2393930355

Associated Practice Facility / Clinic

🏢 Joseph Vickaryous D.o. P.a. Facility NPI 1164751400

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Marco Island, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Marco Island, FL (2490 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

18.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vickaryous (24 Years) 24 Yrs

Marco Island Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,637	593	$148.00	$128.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	663	132	$16.48	$14.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	607	128	$2.16	$1.28
93000 Routine ekg using at least 12 leads including interpretation and report	579	506	$17.24	$14.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	359	77	$1.86	$0.96
17003 Destruction of precancer skin growth, 2-14 growths	347	43	$7.64	$6.53
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	293	293	$29.07	$25.45
G0442 Annual alcohol misuse screening, 5 to 15 minutes	293	293	$21.97	$18.76
G0444 Annual depression screening, 5 to 15 minutes	290	290	$22.01	$18.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	286	286	$152.97	$130.31
99497 Advance care planning, first 30 minutes	282	282	$95.18	$82.47
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	226	111	$500.00	$441.13
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	218	163	$83.00	$67.79
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	218	161	$17.67	$16.20
76700 Ultrasound of abdomen	210	209	$93.14	$77.50
93880 Ultrasound of both sides of head and neck blood flow	200	198	$175.37	$150.10
99442 Telephone medical discussion with physician, 11-20 minutes	198	145	$111.56	$90.69
95923 Testing of autonomic (sympathetic) nervous system function	197	191	$138.72	$120.59
G0008 Administration of influenza virus vaccine	175	171	$45.23	$32.91
90653 Vaccine for influenza for injection into muscle	174	170	$94.75	$81.72
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	157	120	$0.60	$0.05
J2785 Injection, regadenoson, 0.1 mg	144	36	$29.58	$8.99
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	135	134	$148.67	$126.73
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	113	111	$418.78	$351.60
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	113	111	$104.81	$61.98
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	107	87	$67.14	$58.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	90	90	$255.75	$221.86
85610 Blood test, clotting time	78	12	$5.99	$4.20
81002 Urinalysis, manual test	76	59	$3.49	$3.41
20553 Injection of trigger points, 3 or more muscles	61	50	$70.84	$61.58
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	57	29	$33.15	$27.64
17000 Destruction of skin growth	56	47	$78.06	$68.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	50	40	$20.06	$16.54
94060 Test to measure expiratory airflow and volume changes before and after medication administration	43	38	$44.32	$38.67
99496 Transitional care management services for problem of high complexity	32	29	$309.40	$271.08
69210 Removal of impacted ear wax	23	19	$56.06	$45.87
20610 Aspiration and/or injection of fluid from large joint	21	20	$76.96	$67.15
76705 Limited ultrasound scan of abdomen	20	20	$114.34	$58.58
76536 Ultrasound of head and neck	19	19	$94.61	$82.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$336.11	$290.55
G0009 Administration of pneumococcal vaccine	16	16	$60.31	$32.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$187.18	$163.63
99495 Transitional care management services for problem of at least moderate complexity	13	13	$230.90	$202.58
76857 Limited ultrasound scan of pelvis	13	13	$140.77	$25.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,956	627	$144.37	$125.68
17003 Destruction of precancer skin growth, 2-14 growths	626	78	$7.32	$6.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	598	130	$16.97	$14.29
93000 Routine ekg using at least 12 leads including interpretation and report	564	493	$18.71	$14.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	544	127	$2.21	$1.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	459	89	$2.17	$1.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	349	349	$20.61	$18.34
99497 Advance care planning, first 30 minutes	346	344	$93.74	$83.96
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	343	343	$28.65	$26.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	337	337	$145.35	$130.71
G0444 Annual depression screening, 5 to 15 minutes	337	337	$20.49	$18.52
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	248	124	$498.79	$441.13
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	237	176	$19.23	$16.10
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	227	170	$78.27	$55.43
G0008 Administration of influenza virus vaccine	215	214	$47.69	$31.46
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	214	213	$85.56	$75.81
76700 Ultrasound of abdomen	187	180	$93.73	$78.90
95923 Testing of autonomic (sympathetic) nervous system function	184	180	$143.16	$122.35
93880 Ultrasound of both sides of head and neck blood flow	178	178	$176.68	$154.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	141	141	$153.61	$129.58
99442 Telephone medical discussion with physician, 11-20 minutes	137	112	$121.62	$91.00
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	124	124	$97.40	$62.07
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	124	124	$436.58	$364.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	110	110	$230.40	$206.29
J1245 Injection, dipyridamole, per 10 mg	94	19	$5.00	$3.67
85610 Blood test, clotting time	90	13	$8.89	$4.20
17000 Destruction of skin growth	85	79	$76.33	$68.69
20553 Injection of trigger points, 3 or more muscles	84	58	$71.80	$63.32
81002 Urinalysis, manual test	75	64	$3.49	$3.41
J2785 Injection, regadenoson, 0.1 mg	74	20	$51.32	$38.58
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	62	32	$35.38	$27.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	51	45	$1.12	$0.04
G0009 Administration of pneumococcal vaccine	39	39	$60.90	$31.56
94060 Test to measure expiratory airflow and volume changes before and after medication administration	38	33	$52.67	$38.31
69210 Removal of impacted ear wax	29	23	$54.85	$47.02
99496 Transitional care management services for problem of high complexity	26	24	$259.10	$224.49
76536 Ultrasound of head and neck	23	23	$95.58	$85.00
76705 Limited ultrasound scan of abdomen	23	22	$95.62	$61.88
20610 Aspiration and/or injection of fluid from large joint	21	20	$79.30	$67.58
90670 Pneumococcal vaccine for injection into muscle	19	19	$278.95	$252.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$244.12	$130.31
99443 Telephone medical discussion with physician, 21-30 minutes	14	12	$140.47	$124.74
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	14	13	$61.82	$56.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$186.46	$165.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,173	630	$146.52	$127.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	649	134	$16.60	$14.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	594	129	$2.24	$1.73
93000 Routine ekg using at least 12 leads including interpretation and report	560	489	$18.67	$14.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	535	106	$2.15	$1.13
17003 Destruction of precancer skin growth, 2-14 growths	506	69	$7.67	$6.87
G0442 Annual alcohol misuse screening, 5 to 15 minutes	295	295	$21.68	$18.99
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	295	295	$29.29	$27.46
99497 Advance care planning, first 30 minutes	294	292	$96.99	$87.30
G0444 Annual depression screening, 5 to 15 minutes	294	294	$21.37	$18.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	283	283	$151.50	$134.13
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	282	216	$16.64	$16.13
G0008 Administration of influenza virus vaccine	234	227	$27.22	$26.21
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	228	221	$83.32	$69.72
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	227	180	$84.89	$30.54
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	212	106	$406.52	$401.74
76700 Ultrasound of abdomen	169	169	$93.19	$82.64
93880 Ultrasound of both sides of head and neck blood flow	165	164	$176.84	$159.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	148	148	$236.92	$217.63
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	138	137	$155.33	$134.17
95923 Testing of autonomic (sympathetic) nervous system function	137	135	$145.11	$130.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	110	83	$53.69	$40.99
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	107	107	$84.84	$64.37
87804 Detection test by immunoassay with direct visual observation for influenza virus	106	47	$16.30	$15.99
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	106	106	$430.39	$386.16
J1245 Injection, dipyridamole, per 10 mg	86	18	$13.33	$3.59
85610 Blood test, clotting time	86	16	$7.04	$4.25
17000 Destruction of skin growth	85	77	$78.33	$70.40
20553 Injection of trigger points, 3 or more muscles	84	65	$73.18	$65.30
81002 Urinalysis, manual test	78	53	$3.93	$3.44
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	55	32	$33.54	$29.45
20610 Aspiration and/or injection of fluid from large joint	41	36	$75.94	$68.59
G0009 Administration of pneumococcal vaccine	39	39	$48.82	$30.01
99496 Transitional care management services for problem of high complexity	37	33	$312.73	$277.57
94060 Test to measure expiratory airflow and volume changes before and after medication administration	34	31	$49.89	$40.05
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$124.52	$81.55
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	28	25	$1.38	$0.04
99442 Telephone medical discussion with physician, 11-20 minutes	25	25	$121.85	$93.22
69210 Removal of impacted ear wax	25	24	$56.87	$50.72
90670 Pneumococcal vaccine for injection into muscle	23	23	$270.65	$250.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$186.09	$167.92
76705 Limited ultrasound scan of abdomen	21	20	$109.01	$61.96
76536 Ultrasound of head and neck	17	17	$109.18	$91.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$193.75	$132.14
83036 Hemoglobin A1C level	13	12	$13.24	$9.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$150.33	$100.45
76857 Limited ultrasound scan of pelvis	11	11	$116.66	$27.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,320	615	$138.62	$132.33
17003 Destruction of precancer skin growth, 2-14 growths	750	83	$7.29	$6.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	591	136	$15.43	$14.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	561	130	$2.18	$1.99
93000 Routine ekg using at least 12 leads including interpretation and report	543	482	$16.68	$15.55
99497 Advance care planning, first 30 minutes	255	251	$91.08	$88.49
G0442 Annual alcohol misuse screening, 5 to 15 minutes	252	252	$20.92	$19.04
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	251	251	$29.26	$27.93
G0444 Annual depression screening, 5 to 15 minutes	247	247	$20.82	$19.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	237	237	$143.41	$137.17
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	225	113	$109.33	$107.60
G0008 Administration of influenza virus vaccine	216	215	$27.63	$17.33
76700 Ultrasound of abdomen	205	201	$103.65	$85.19
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	204	146	$17.81	$16.37
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	201	201	$75.55	$66.10
93880 Ultrasound of both sides of head and neck blood flow	187	187	$185.28	$166.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	173	173	$234.74	$229.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	155	150	$159.61	$136.99
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	153	120	$88.24	$45.42
J1040 Injection, methylprednisolone acetate, 80 mg	153	101	$5.30	$5.27
95923 Testing of autonomic (sympathetic) nervous system function	141	138	$143.40	$134.28
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	140	111	$92.96	$71.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	139	58	$19.30	$16.36
J1245 Injection, dipyridamole, per 10 mg	130	28	$13.46	$3.54
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	113	113	$77.39	$66.67
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	113	113	$444.58	$410.81
85610 Blood test, clotting time	106	20	$5.36	$4.29
17000 Destruction of skin growth	101	94	$72.41	$67.85
20553 Injection of trigger points, 3 or more muscles	99	65	$68.49	$65.57
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	82	44	$31.09	$30.06
81002 Urinalysis, manual test	71	53	$3.98	$3.48
20610 Aspiration and/or injection of fluid from large joint	48	40	$70.53	$69.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	11	$3.35	$1.20
99496 Transitional care management services for problem of high complexity	45	38	$284.09	$273.51
69210 Removal of impacted ear wax	39	31	$52.74	$49.26
94060 Test to measure expiratory airflow and volume changes before and after medication administration	37	35	$51.59	$46.88
G0009 Administration of pneumococcal vaccine	34	33	$50.68	$17.44
76705 Limited ultrasound scan of abdomen	26	26	$73.75	$64.22
90670 Pneumococcal vaccine for injection into muscle	21	20	$254.76	$241.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$183.91	$174.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$190.38	$123.54
76536 Ultrasound of head and neck	13	13	$119.01	$95.99
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$178.53	$170.16
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$37.50	$19.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,281	629	$116.78	$112.52
17003 Destruction of precancer skin growth, 2-14 growths	553	66	$6.28	$6.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	400	134	$17.02	$14.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	382	126	$2.82	$1.95
93000 Routine ekg using at least 12 leads including interpretation and report	326	306	$19.31	$17.76
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	250	250	$29.24	$27.30
G0442 Annual alcohol misuse screening, 5 to 15 minutes	250	250	$19.92	$18.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$127.06	$119.11
99497 Advance care planning, first 30 minutes	236	235	$83.51	$80.92
G0444 Annual depression screening, 5 to 15 minutes	208	208	$20.26	$18.57
G0008 Administration of influenza virus vaccine	197	192	$26.50	$17.25
90653 Vaccine for influenza for injection into muscle	189	188	$71.61	$58.82
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	169	85	$108.93	$106.99
76700 Ultrasound of abdomen	142	138	$88.94	$83.60
J1040 Injection, methylprednisolone acetate, 80 mg	134	102	$5.79	$5.42
93880 Ultrasound of both sides of head and neck blood flow	127	127	$171.35	$163.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	124	124	$221.10	$211.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	110	110	$147.67	$137.17
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	101	85	$52.28	$50.97
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	89	41	$31.22	$30.30
95923 Testing of autonomic (sympathetic) nervous system function	86	83	$142.37	$131.64
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	85	85	$423.32	$406.49
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	84	84	$75.65	$65.20
20553 Injection of trigger points, 3 or more muscles	80	58	$69.25	$66.51
17000 Destruction of skin growth	72	69	$71.59	$68.52
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$87.15	$76.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$16.36	$16.19
G0009 Administration of pneumococcal vaccine	35	35	$45.36	$16.73
99496 Transitional care management services for problem of high complexity	30	28	$232.25	$223.71
69210 Removal of impacted ear wax	28	22	$52.51	$48.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$180.61	$166.09
20610 Aspiration and/or injection of fluid from large joint	26	25	$65.43	$63.78
90670 Pneumococcal vaccine for injection into muscle	23	23	$219.13	$204.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	23	$16.36	$16.20
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	21	16	$64.96	$63.11
94060 Test to measure expiratory airflow and volume changes before and after medication administration	18	18	$62.66	$61.02
76536 Ultrasound of head and neck	14	14	$90.33	$89.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$146.15	$107.78
76705 Limited ultrasound scan of abdomen	12	11	$66.34	$63.12
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$100.75	$45.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$179.16	$164.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,203	661	$114.93	$112.05
17003 Destruction of precancer skin growth, 2-14 growths	1,832	148	$6.21	$5.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	818	172	$18.51	$17.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	791	164	$2.49	$1.79
93000 Routine ekg using at least 12 leads including interpretation and report	586	512	$19.58	$17.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	568	226	$16.77	$16.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	284	224	$16.64	$16.04
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	259	198	$51.25	$49.94
G0008 Administration of influenza virus vaccine	251	248	$28.11	$17.00
76700 Ultrasound of abdomen	249	243	$86.12	$81.79
J1040 Injection, methylprednisolone acetate, 80 mg	245	156	$5.38	$5.25
90653 Vaccine for influenza for injection into muscle	244	242	$65.39	$57.86
93880 Ultrasound of both sides of head and neck blood flow	219	214	$171.44	$164.04
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	204	102	$112.07	$105.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	200	199	$147.80	$135.60
17000 Destruction of skin growth	191	163	$71.18	$67.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$124.23	$118.96
G0442 Annual alcohol misuse screening, 5 to 15 minutes	170	170	$19.14	$18.36
G0444 Annual depression screening, 5 to 15 minutes	169	169	$18.99	$18.36
85610 Blood test, clotting time	163	30	$5.72	$4.28
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	162	162	$27.41	$26.78
99497 Advance care planning, first 30 minutes	146	146	$53.06	$51.89
20553 Injection of trigger points, 3 or more muscles	145	94	$68.34	$65.84
95923 Testing of autonomic (sympathetic) nervous system function	135	134	$144.80	$130.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	123	123	$207.52	$200.70
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	102	102	$437.40	$406.92
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	102	102	$77.90	$69.53
81002 Urinalysis, manual test	96	72	$3.73	$3.41
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	96	48	$30.29	$29.49
J1245 Injection, dipyridamole, per 10 mg	81	16	$11.30	$1.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$176.21	$167.17
51798 Ultrasound measurement of bladder capacity after voiding	62	49	$15.44	$13.24
G0009 Administration of pneumococcal vaccine	62	62	$53.90	$16.73
20610 Aspiration and/or injection of fluid from large joint	58	48	$65.73	$64.54
69210 Removal of impacted ear wax	40	34	$52.89	$46.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$133.58	$111.26
99496 Transitional care management services for problem of high complexity	29	28	$233.58	$229.79
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	26	$62.21	$60.94
90670 Pneumococcal vaccine for injection into muscle	25	25	$234.00	$195.77
20605 Aspiration and/or injection of medium joint or joint capsule	20	16	$54.44	$53.69
76705 Limited ultrasound scan of abdomen	18	18	$66.68	$62.46
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$90.43	$76.86
83036 Hemoglobin A1C level	16	15	$13.24	$10.57
76536 Ultrasound of head and neck	16	15	$91.32	$88.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$175.83	$171.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,248	232	$6.20	$5.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,340	675	$113.33	$104.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	934	216	$26.65	$19.84
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	912	209	$3.11	$1.96
93000 Routine ekg using at least 12 leads including interpretation and report	635	554	$19.62	$16.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	619	243	$17.06	$16.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	306	239	$16.69	$16.04
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	272	203	$46.96	$43.50
17000 Destruction of skin growth	270	236	$73.05	$65.48
J1040 Injection, methylprednisolone acetate, 80 mg	252	156	$5.99	$5.42
76700 Ultrasound of abdomen	246	236	$92.70	$79.24
G0008 Administration of influenza virus vaccine	244	240	$26.43	$20.91
85610 Blood test, clotting time	222	38	$5.81	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$125.21	$112.27
93880 Ultrasound of both sides of head and neck blood flow	218	218	$173.24	$157.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	180	179	$180.38	$131.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	168	168	$217.35	$203.29
99497 Advance care planning, first 30 minutes	166	166	$42.26	$40.92
90756 Vaccine for influenza for injection into muscle	164	164	$35.72	$22.33
G0442 Annual alcohol misuse screening, 5 to 15 minutes	164	166	$18.92	$17.67
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	164	164	$27.28	$25.13
G0444 Annual depression screening, 5 to 15 minutes	162	164	$18.92	$17.33
20553 Injection of trigger points, 3 or more muscles	157	98	$69.51	$61.23
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	148	75	$110.85	$99.84
95923 Testing of autonomic (sympathetic) nervous system function	124	122	$157.31	$125.78
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	103	40	$29.74	$27.39
G0009 Administration of pneumococcal vaccine	88	88	$53.87	$20.91
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	82	82	$81.67	$68.96
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	75	75	$439.56	$395.42
81002 Urinalysis, manual test	66	50	$3.66	$3.36
20610 Aspiration and/or injection of fluid from large joint	64	50	$66.13	$60.53
51798 Ultrasound measurement of bladder capacity after voiding	58	44	$21.10	$15.52
90670 Pneumococcal vaccine for injection into muscle	56	56	$248.21	$199.00
90653 Vaccine for influenza for injection into muscle	44	44	$57.52	$52.07
94060 Test to measure expiratory airflow and volume changes before and after medication administration	42	40	$66.05	$58.61
69210 Removal of impacted ear wax	41	39	$52.32	$47.18
83036 Hemoglobin A1C level	34	29	$13.93	$11.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$122.14	$99.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$176.36	$162.34
99496 Transitional care management services for problem of high complexity	20	17	$241.62	$226.13
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$44.00	$17.48
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	19	19	$22.78	$17.34
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	17	16	$100.77	$81.11
76536 Ultrasound of head and neck	17	16	$95.64	$85.57
20605 Aspiration and/or injection of medium joint or joint capsule	12	12	$54.00	$48.41
76705 Limited ultrasound scan of abdomen	11	11	$64.75	$60.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,079	140	$6.93	$5.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,465	539	$114.26	$103.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	630	179	$26.53	$24.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	605	168	$2.90	$2.12
93000 Routine ekg using at least 12 leads including interpretation and report	358	337	$22.65	$16.53
87804 Detection test by immunoassay with direct visual observation for influenza virus	349	156	$17.38	$16.04
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	212	205	$23.28	$17.18
G0008 Administration of influenza virus vaccine	201	194	$26.38	$25.56
76700 Ultrasound of abdomen	174	168	$100.61	$79.06
17000 Destruction of skin growth	170	148	$74.89	$65.33
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	169	152	$17.02	$16.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	167	167	$220.03	$200.72
J1040 Injection, methylprednisolone acetate, 80 mg	159	113	$5.89	$5.39
93880 Ultrasound of both sides of head and neck blood flow	151	151	$174.09	$155.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	141	141	$175.68	$157.61
85610 Blood test, clotting time	127	41	$5.82	$5.25
95923 Testing of autonomic (sympathetic) nervous system function	122	121	$179.89	$135.54
G0009 Administration of pneumococcal vaccine	81	81	$56.33	$25.94
20553 Injection of trigger points, 3 or more muscles	72	53	$69.24	$61.60
90670 Pneumococcal vaccine for injection into muscle	66	66	$243.53	$186.84
20610 Aspiration and/or injection of fluid from large joint	61	48	$66.12	$60.50
94644 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour	56	49	$47.03	$42.40
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	56	29	$29.94	$27.06
81002 Urinalysis, manual test	47	40	$3.84	$3.42
51798 Ultrasound measurement of bladder capacity after voiding	43	37	$24.99	$19.07
83036 Hemoglobin A1C level	36	32	$13.57	$12.98
94060 Test to measure expiratory airflow and volume changes before and after medication administration	28	27	$63.38	$58.45
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	26	13	$108.14	$99.04
76536 Ultrasound of head and neck	24	19	$104.54	$85.37
69210 Removal of impacted ear wax	24	23	$54.47	$46.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$90.94	$81.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$174.89	$160.94
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	13	13	$424.43	$390.74
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	13	13	$79.39	$73.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$188.10	$159.17
99496 Transitional care management services for problem of high complexity	11	11	$242.11	$222.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$151.87	$140.10

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS9338

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL OS9338

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Christopher Hatwell , PA-C

Physician Assistant

NPI 1164773610

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 531 BALD EAGLE DR, MARCO ISLAND, FL 341452700 (Tel: 2393932000)

📍

Updated Business Mailing Address August 27, 2013

Registered at 531 BALD EAGLE DR, MARCO ISLAND, FL 341452700 (Tel: 2393932000)

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as JOSEPH VICKARYOUS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Family Medicine (License #OS9338 in FL)

🟢

Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750475240

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 02, 2006

Last Update: August 27, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

531 Bald Eagle Dr

Marco Island, FL 341452700

Phone: 2393932000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.