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Ramon Omar Vicencio, MD

NPI 1083292130ActiveIndividual· Family Medicine, Sports Medicine· Philadelphia, PA

Family Medicine, Sports Medicine (MD) with Temple Faculty Practice Plan Inc, practicing in Philadelphia, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $45,765 for 429 claims, against $1,925 paid for services in 2024. Lists Temple Health - Chestnut Hill Hospital as a hospital affiliation.

Overview

NPI1083292130
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedMar 31, 2021
Last updated in NPPESJan 29, 2026
Certified by providerJan 29, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine, Sports Medicine Primary207QS0010XMD484891PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients19
Services billed87 across 7 procedure codes
Paid by Medicare$1,925

Part D prescriptions in 2024

Prescriptions (claims)429 · 753 30-day fills
Patients98
Total drug cost$45,765
Generic share80% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyFamily Practice

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine, Sports Medicine providers in Philadelphia

All 25 Family Medicine, Sports Medicine providers in Philadelphia · All Family Medicine, Sports Medicine providers in Pennsylvania