Active NPI 1174508246 Individual Practitioner Male Practitioner

Dr. Daniel P Vicencio , MD

Internal Medicine • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Vicencio, MD is a certified Internal Medicine practicing in Chicago, IL. With approximately 34 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1992, Dr. Vicencio delivers high-quality medical care to the local community at 2525 S MICHIGAN AVE.

Dr. Vicencio is affiliated with Near North Health Service Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 S Michigan Ave
B-390

Chicago, IL 606162333

Telephone 3125676691

Fax 3123287702

Associated Practice Facility / Clinic

🏢 Insight Chicago, Inc. Facility NPI 1730166224

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +12.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vicencio (34 Years) 34 Yrs

Chicago Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	74	52	$60.00	$60.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$199.00	$136.32
99442 Telephone medical discussion with physician, 11-20 minutes	21	16	$95.00	$95.59

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	132	73	$199.00	$115.87
99441 Telephone medical discussion with physician, 5-10 minutes	131	74	$60.00	$48.86
99442 Telephone medical discussion with physician, 11-20 minutes	70	47	$95.00	$80.40
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$133.00	$78.82

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	435	136	$199.00	$113.09
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$133.00	$78.83
G0008 Administration of influenza virus vaccine	29	27	$43.00	$17.33
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	23	$39.00	$18.65

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	593	178	$199.00	$112.92
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$133.00	$77.12
G0008 Administration of influenza virus vaccine	39	37	$43.00	$21.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	34	33	$39.00	$18.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$268.00	$152.96

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	625	198	$199.11	$107.80
99213 Established patient office or other outpatient visit, typically 15 minutes	64	50	$133.00	$72.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$39.00	$18.65
G0008 Administration of influenza virus vaccine	21	21	$43.00	$26.42
99496 Transitional care management services for problem of high complexity	19	15	$448.00	$231.46
90471 Administration of 1 vaccine	17	17	$43.00	$25.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$268.00	$146.27

Medical Specialties & State Licenses

CMS Verified: 2021-05-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036088743

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036088743 (IL)

Commercial Insurance / Payer ID Bcbs Of Il

01621679 (IL)

Hospital & Practice Group Affiliations

Near North Health Service Corporation

4259 S Berkeley Ave, Chicago, IL 606533030

Phone: 7732687600

Secondary Practice Locations

1276 N Clybourn Ave

Chicago, IL 606102089

Phone: 3123371073

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Robert Galligan , PsyD

Psychologist - Clinical

NPI 1003890310

Doctor of Psychology (Psy.D.)

Dr. Roueen Rafeyan , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1003891458

Doctor of Medicine (M.D.)

Dr. Seshan Subramanian , MD

Internal Medicine - Hematology & Oncology

NPI 1083691950

Doctor of Medicine (M.D.)

Dr. John Patterson , MD

Obstetrics & Gynecology

NPI 1174508642

Doctor of Medicine (M.D.)

Kenneth Horace , LCSW

Social Worker - Clinical

NPI 1205819794

Licensed Clinical Social Worker

Ruth Shah , ANP

Nurse Practitioner - Family

NPI 1235362773

Adult Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2012

Registered at 2525 S MICHIGAN AVE, B-390, CHICAGO, IL 606162333 (Tel: 3125676691)

📍

Updated Business Mailing Address February 03, 2012

Registered at 2525 S MICHIGAN AVE, B-390, CHICAGO, IL 606162333 (Tel: 3125676691)

👤

Provider Name / Credentials Updated February 03, 2012

Recorded as DANIEL VICENCIO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2012

Internal Medicine (License #036088743 in IL)

🟢

Initial NPI Registration & Enumeration December 13, 2005

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: 1174508246

Entity Type:

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

Enumeration Date: December 13, 2005

Last Update: May 06, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2525 S Michigan Ave, B-390

Chicago, IL 606162333

Phone: 3125676691

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.