Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649365826 Individual Practitioner Male Practitioner

Dr. David B Vickers , MD

Pediatrics • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Dr. David Vickers, MD is a registered healthcare professional specializing in Pediatrics in Clovis, NM. Practice services are available at 1521 W 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1521 W 13th St

Clovis, NM 881015568

Telephone 5757690888
Associated Practice Facility / Clinic
🏢 La Casa Family Health Center Facility NPI 1528259124

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Clovis, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM 99-321

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0612426-03 (NM)
Medicaid State Provider ID
74435 (NM)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Margaret Hemm , CNP

Nurse Practitioner - Women's Health

NPI 1063674398

Certified Nurse Practitioner

Carolyn Vavrecan , FNP

Nurse Practitioner - Family

NPI 1174953947

Family Nurse Practitioner

NPI 1205126364

Licensed Master Social Worker

Dr. Dhirendra Lamba , MD

Internal Medicine

NPI 1427049196

Doctor of Medicine (M.D.)

NPI 1437403813

Doctor of Medicine (M.D.)

Cortnee Krallman , CNP

Nurse Practitioner

NPI 1487109559

Certified Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 13, 2024

Registered at 1521 W 13TH ST, CLOVIS, NM 881015568 (Tel: 5757690888)

📍
Updated Business Mailing Address June 13, 2024

Registered at PO BOX 843, PORTALES, NM 881300843 (Tel: 5753566695)

NPI Profile Active January 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2009

Registered at PLAINS REGIONAL MEDICAL GROUP, 2200 W 21ST ST, CLOVIS, NM 88101 (Tel: 5757697577)

📍
Updated Business Mailing Address January 06, 2009

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059235356)

👤
Provider Name / Credentials Updated January 06, 2009

Recorded as DAVID VICKERS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2009

Pediatrics (License #99-321 in NM)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1649365826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: June 13, 2024
Sole Proprietor: No

Mailing Address

Po Box 843

Portales, NM 881300843

Phone: 5753566695

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.