Active NPI 1295708212 Individual Practitioner Male Practitioner

Dr. Gary John Vicik , MD

Specialist • Belleville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gary Vicik, MD is a certified Specialist practicing in Belleville, IL. With approximately 57 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1969, Dr. Vicik delivers high-quality medical care to the local community at 3608 W MAIN ST.

Dr. Vicik accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, ultrasonic guidance for placement of radiation therapy fields, obtaining data needed to develop the optimal radiation treatment, 1 treatment area. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3608 W Main St

Belleville, IL 622266225

Telephone 6183976605

Fax 6182771251

Associated Practice Facility / Clinic

🏢 Dermassociates Ltd Facility NPI 1942273974

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Belleville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

57 Yrs Matches City Avg

City Avg: 57.0 Yrs

State Avg: 38.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Belleville, IL (1322 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vicik (57 Years) 57 Yrs

Belleville Specialty Average (57.0 Years) 57.0 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
17003 Destruction of precancer skin growth, 2-14 growths	1,379	198	$20.00	$6.05
G6001 Ultrasonic guidance for placement of radiation therapy fields	810	35	$270.00	$164.34
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	764	34	$450.00	$245.29
77401 Radiation treatment delivery, superficial	739	34	$70.00	$37.77
99213 Established patient office or other outpatient visit, typically 15 minutes	627	429	$110.00	$87.87
17000 Destruction of skin growth	352	261	$110.00	$53.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	229	$150.00	$123.84
17110 Destruction of up to 14 skin growths	263	206	$160.00	$104.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	164	$71.51	$54.64
11102 Tangential biopsy of single skin lesion	182	167	$175.00	$86.39
77336 Continuing radiation therapy consultation per week	120	33	$135.63	$82.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$150.00	$109.27
17004 Destruction of precancer skin growth, 15 or more growths	51	43	$300.00	$159.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	41	$10.00	$0.97
11103 Biopsy of related skin growth, each additional growth	44	37	$100.00	$47.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	35	$40.00	$13.66
17111 Destruction of skin growth, 15 or more growths	36	32	$190.00	$118.58
77300 Calculation of radiation therapy dose	34	30	$125.00	$62.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$215.00	$164.84
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	29	16	$210.00	$116.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	18	$250.00	$146.63
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$100.00	$70.23
77261 Simple radiation therapy planning	25	25	$125.00	$69.02
77332 Design and construction of simple radiation treatment device	22	20	$200.00	$37.35
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	15	$250.00	$158.57
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	15	15	$216.00	$116.47
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	12	$236.33	$142.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	11	$175.00	$97.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,378	206	$20.00	$6.27
G6001 Ultrasonic guidance for placement of radiation therapy fields	791	45	$270.00	$169.33
99213 Established patient office or other outpatient visit, typically 15 minutes	765	539	$110.00	$88.32
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	727	35	$450.00	$253.24
77401 Radiation treatment delivery, superficial	704	34	$70.00	$38.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	294	$150.00	$124.72
17000 Destruction of skin growth	360	275	$110.00	$53.26
17110 Destruction of up to 14 skin growths	262	212	$160.00	$105.37
11102 Tangential biopsy of single skin lesion	235	205	$175.00	$87.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	127	$70.00	$55.02
77427 Radiation treatment management, 5 treatments	136	34	$400.00	$191.19
77336 Continuing radiation therapy consultation per week	112	35	$125.00	$82.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$150.00	$108.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	61	$10.00	$1.06
17111 Destruction of skin growth, 15 or more growths	68	52	$190.00	$125.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	53	$40.00	$13.72
17004 Destruction of precancer skin growth, 15 or more growths	55	48	$300.00	$165.15
77300 Calculation of radiation therapy dose	52	33	$125.00	$63.86
11103 Biopsy of related skin growth, each additional growth	51	34	$100.00	$48.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$215.00	$166.44
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$100.00	$71.38
77261 Simple radiation therapy planning	24	23	$125.00	$70.28
77332 Design and construction of simple radiation treatment device	21	21	$200.00	$37.20
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	14	$210.00	$121.10
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	12	$290.00	$185.27
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	17	$250.00	$161.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$440.00	$276.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,674	224	$20.00	$6.50
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,242	70	$248.49	$172.95
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	1,204	59	$450.00	$259.46
77401 Radiation treatment delivery, superficial	1,163	59	$69.97	$39.61
99213 Established patient office or other outpatient visit, typically 15 minutes	762	506	$110.00	$90.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	651	404	$150.00	$125.74
17000 Destruction of skin growth	408	299	$110.00	$56.20
17110 Destruction of up to 14 skin growths	277	234	$160.00	$107.04
77427 Radiation treatment management, 5 treatments	220	56	$400.00	$192.57
11102 Tangential biopsy of single skin lesion	216	192	$175.00	$88.55
88305 Pathology examination of tissue using a microscope, intermediate complexity	185	120	$80.00	$36.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$150.00	$113.54
77336 Continuing radiation therapy consultation per week	127	50	$125.00	$80.31
17004 Destruction of precancer skin growth, 15 or more growths	98	77	$300.00	$167.15
77300 Calculation of radiation therapy dose	90	59	$125.00	$63.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	80	$70.00	$57.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	67	$10.00	$1.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	55	$40.00	$13.84
17111 Destruction of skin growth, 15 or more growths	61	46	$190.00	$129.47
77261 Simple radiation therapy planning	44	39	$125.00	$71.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$215.00	$165.68
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$100.00	$73.42
11103 Biopsy of related skin growth, each additional growth	33	28	$100.00	$50.79
77334 Design and construction of complex radiation treatment device	32	27	$240.00	$121.41
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	18	$290.00	$189.71
77332 Design and construction of simple radiation treatment device	21	21	$200.00	$37.87
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	12	$210.00	$122.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$250.00	$166.52
10040 Acne surgery	14	14	$175.00	$111.11
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	12	$230.00	$141.31
11900 Injection into skin growth, 1-7 growths	14	12	$85.00	$54.38
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$270.00	$189.29
11104 Punch biopsy, first skin growth	12	12	$175.00	$126.53
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$250.00	$172.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,574	238	$20.00	$6.32
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,257	63	$220.41	$149.51
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	1,185	60	$450.00	$275.49
77401 Radiation treatment delivery, superficial	1,143	60	$62.72	$41.51
99213 Established patient office or other outpatient visit, typically 15 minutes	883	571	$105.74	$91.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	542	351	$146.05	$128.88
17000 Destruction of skin growth	400	310	$110.00	$57.28
88305 Pathology examination of tissue using a microscope, intermediate complexity	348	192	$80.00	$37.27
17110 Destruction of up to 14 skin growths	256	221	$160.00	$109.18
77427 Radiation treatment management, 5 treatments	221	59	$400.00	$193.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$146.34	$113.38
11102 Tangential biopsy of single skin lesion	182	166	$175.00	$89.28
77336 Continuing radiation therapy consultation per week	150	55	$125.00	$79.41
17004 Destruction of precancer skin growth, 15 or more growths	129	96	$300.00	$165.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	75	65	$10.00	$1.20
77300 Calculation of radiation therapy dose	74	58	$125.00	$65.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	56	$70.00	$56.25
77334 Design and construction of complex radiation treatment device	58	53	$240.00	$124.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	50	$40.00	$13.32
17111 Destruction of skin growth, 15 or more growths	44	38	$190.00	$132.41
77261 Simple radiation therapy planning	42	40	$125.00	$72.60
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	25	$290.00	$197.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$215.00	$171.11
88304 Pathology examination of tissue using a microscope, moderately low complexity	21	20	$60.00	$11.54
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	21	16	$200.00	$121.95
11900 Injection into skin growth, 1-7 growths	20	14	$85.00	$49.47
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	18	$250.00	$175.74
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$100.00	$72.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$250.00	$163.18
11103 Biopsy of related skin growth, each additional growth	16	14	$100.00	$52.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$440.00	$309.42
77262 Intermediate radiation therapy planning	13	12	$175.00	$110.44
77285 Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas	13	12	$650.00	$455.58
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$220.00	$153.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,159	294	$22.00	$5.83
99213 Established patient office or other outpatient visit, typically 15 minutes	967	599	$94.62	$75.35
G6001 Ultrasonic guidance for placement of radiation therapy fields	872	50	$156.96	$113.73
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	811	45	$450.00	$267.36
77401 Radiation treatment delivery, superficial	778	45	$40.00	$23.55
17000 Destruction of skin growth	483	372	$110.00	$57.50
88305 Pathology examination of tissue using a microscope, intermediate complexity	384	228	$84.00	$38.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	328	276	$56.69	$45.68
17110 Destruction of up to 14 skin growths	216	170	$153.00	$106.57
11102 Tangential biopsy of single skin lesion	196	177	$175.00	$87.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$140.00	$108.68
77427 Radiation treatment management, 5 treatments	150	45	$399.67	$197.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	104	$130.00	$106.21
17004 Destruction of precancer skin growth, 15 or more growths	135	102	$346.00	$157.87
77336 Continuing radiation therapy consultation per week	90	42	$125.00	$77.56
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$90.00	$76.96
77300 Calculation of radiation therapy dose	62	44	$125.00	$65.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	50	$8.00	$1.41
17111 Destruction of skin growth, 15 or more growths	49	46	$185.00	$127.81
77334 Design and construction of complex radiation treatment device	44	41	$240.00	$126.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	38	$40.00	$13.53
11103 Biopsy of related skin growth, each additional growth	36	26	$87.50	$53.23
77261 Simple radiation therapy planning	34	33	$125.00	$74.42
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	28	$290.00	$203.90
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	32	14	$450.00	$355.38
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	14	$300.00	$115.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$440.00	$303.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	11	$250.00	$152.46
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$200.00	$136.58
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	15	$200.00	$118.26
88304 Pathology examination of tissue using a microscope, moderately low complexity	17	16	$60.00	$11.91
11900 Injection into skin growth, 1-7 growths	16	12	$78.00	$48.43
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	12	$170.00	$109.43
11104 Punch biopsy, first skin growth	11	11	$175.00	$115.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,004	293	$22.00	$5.66
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,360	70	$103.66	$79.35
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	1,280	64	$450.00	$262.45
77401 Radiation treatment delivery, superficial	1,231	61	$40.00	$23.48
99213 Established patient office or other outpatient visit, typically 15 minutes	1,129	679	$90.00	$73.64
88305 Pathology examination of tissue using a microscope, intermediate complexity	496	262	$84.00	$38.73
17000 Destruction of skin growth	455	377	$110.00	$55.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	389	330	$55.00	$44.52
11102 Tangential biopsy of single skin lesion	268	228	$162.50	$88.60
77427 Radiation treatment management, 5 treatments	235	61	$350.85	$193.38
17110 Destruction of up to 14 skin growths	210	189	$153.00	$103.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	190	190	$140.00	$107.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	108	$130.00	$107.37
17004 Destruction of precancer skin growth, 15 or more growths	156	131	$346.00	$151.60
99202 New patient office or other outpatient visit, typically 20 minutes	149	149	$90.00	$75.84
77336 Continuing radiation therapy consultation per week	145	59	$125.00	$75.93
77300 Calculation of radiation therapy dose	92	65	$125.00	$64.80
77334 Design and construction of complex radiation treatment device	64	64	$240.00	$125.40
17111 Destruction of skin growth, 15 or more growths	52	48	$185.00	$124.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	48	$8.00	$1.59
11103 Biopsy of related skin growth, each additional growth	51	41	$74.51	$52.50
77261 Simple radiation therapy planning	49	49	$125.00	$73.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	39	$40.00	$16.32
88304 Pathology examination of tissue using a microscope, moderately low complexity	30	29	$60.00	$11.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	25	$290.00	$194.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	24	$440.00	$286.41
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$171.25	$126.95
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	23	11	$286.96	$111.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	23	11	$450.00	$378.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	18	$250.00	$155.02
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$200.00	$131.99
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	19	13	$170.00	$101.20
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	13	$170.00	$100.23
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$220.00	$148.39
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$260.00	$176.52
11104 Punch biopsy, first skin growth	14	14	$158.93	$122.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,493	339	$22.00	$5.19
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,449	71	$80.00	$50.65
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	1,373	66	$411.87	$257.62
77401 Radiation treatment delivery, superficial	1,319	65	$40.00	$22.95
99213 Established patient office or other outpatient visit, typically 15 minutes	1,242	810	$90.00	$69.99
88305 Pathology examination of tissue using a microscope, intermediate complexity	589	343	$84.00	$37.39
17000 Destruction of skin growth	498	407	$110.00	$53.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	407	346	$55.00	$42.08
11100 Biopsy of single growth of skin and/or tissue	272	243	$143.00	$91.22
77427 Radiation treatment management, 5 treatments	263	70	$350.00	$183.72
17110 Destruction of up to 14 skin growths	248	220	$153.00	$102.57
77336 Continuing radiation therapy consultation per week	191	64	$125.00	$75.21
17004 Destruction of precancer skin growth, 15 or more growths	188	140	$346.00	$140.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$140.00	$105.10
99202 New patient office or other outpatient visit, typically 20 minutes	183	183	$90.00	$71.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	100	$130.00	$103.25
77300 Calculation of radiation therapy dose	125	66	$125.00	$63.42
77334 Design and construction of complex radiation treatment device	64	61	$240.00	$122.90
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	56	52	$290.00	$198.56
77261 Simple radiation therapy planning	54	52	$125.00	$70.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	31	$8.00	$1.78
17111 Destruction of skin growth, 15 or more growths	37	34	$185.00	$123.43
11101 Biopsy of each additional growth of skin and/or tissue	34	26	$48.00	$31.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	27	$250.00	$145.94
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	33	15	$450.00	$360.25
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	32	15	$275.00	$97.28
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	30	25	$199.00	$116.00
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	22	$165.00	$93.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	23	$40.00	$19.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	23	$440.00	$275.54
88304 Pathology examination of tissue using a microscope, moderately low complexity	21	19	$60.00	$11.69
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$260.00	$164.35
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	14	$250.00	$146.10
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$199.67	$139.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,952	379	$22.00	$5.48
99213 Established patient office or other outpatient visit, typically 15 minutes	1,200	780	$90.00	$69.78
88305 Pathology examination of tissue using a microscope, intermediate complexity	715	365	$84.00	$37.79
17000 Destruction of skin growth	613	478	$110.00	$53.86
11100 Biopsy of single growth of skin and/or tissue	357	297	$143.00	$86.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	348	301	$55.00	$41.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	203	$130.00	$103.57
17110 Destruction of up to 14 skin growths	219	188	$153.00	$99.18
17004 Destruction of precancer skin growth, 15 or more growths	195	147	$346.00	$145.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$140.00	$105.35
99202 New patient office or other outpatient visit, typically 20 minutes	155	155	$90.00	$71.49
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	104	86	$290.00	$184.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	37	$250.00	$156.51
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	35	22	$190.00	$112.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	24	$8.00	$1.81
17111 Destruction of skin growth, 15 or more growths	31	26	$185.00	$119.77
11101 Biopsy of each additional growth of skin and/or tissue	30	22	$48.00	$31.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$440.00	$287.86
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	26	22	$345.00	$240.65
88304 Pathology examination of tissue using a microscope, moderately low complexity	25	22	$60.00	$11.70
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	20	$165.00	$98.97
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$252.00	$177.45
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	18	$215.00	$147.41
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	17	$270.00	$169.06
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	16	$250.00	$163.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	12	$160.00	$96.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$40.00	$23.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$345.00	$120.67
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	13	13	$290.00	$187.54

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 36-49185

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036049185 (IL)

Commercial Insurance / Payer ID Group Health Plan

42561V34432

Commercial Insurance / Payer ID Blue Shield

8215117 (IL)

Commercial Insurance / Payer ID Advantra

42561V34432

Commercial Insurance / Payer ID United Healthcare

STL0307017

Commercial Insurance / Payer ID Healthlink

101263

Commercial Insurance / Payer ID Great West

202982

Commercial Insurance / Payer ID Aetna

0778106

Commercial Insurance / Payer ID Essence

11512

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2012

Registered at 3608 W MAIN ST, BELLEVILLE, IL 622266225 (Tel: 6183976605)

📍

Updated Business Mailing Address May 21, 2012

Registered at 3608 W MAIN ST, BELLEVILLE, IL 622266225 (Tel: 6183976605)

👤

Provider Name / Credentials Updated May 21, 2012

Recorded as GARY VICIK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2012

Specialist (License #36-49185 in IL)

🟢

Initial NPI Registration & Enumeration February 09, 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: 1295708212

Entity Type:

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

Enumeration Date: February 09, 2006

Last Update: May 21, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3608 W Main St

Belleville, IL 622266225

Phone: 6183976605

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.