TRACY VANDEWATER MD
NPI 1023512332
Otolaryngology - Facial Plastic Surgery in Poway, CA
About Tracy Vandewater Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY VANDEWATER MD (NPI 1023512332) is an individual facial plastic surgery provider in Poway, California, licensed in California (A186032) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Vandewater Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POWAY, CA 92064
POWAY, CA 92064
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracy Vandewater's NPI number?
The NPI number for Tracy Vandewater is 1023512332. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is Tracy Vandewater located?
Tracy Vandewater practices at 15611 Pomerado Rd Ste 400, Poway, CA 92064. The listed phone number is (858) 618-1191.
What is Tracy Vandewater's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Tracy Vandewater enrolled in Medicare?
Yes. Tracy Vandewater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Tracy Vandewater was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
