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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tracy Vandewater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Poway, CA 92064
- Reassigned Medicare billing, California enrollment
- 144 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Tracy Vandewater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Vandewater reassigns Medicare benefits to Arch Health Partners, Inc (Poway, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Vandewater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.
# Tracy Vandewater, MD · NPI 1023512332
Facial Plastic Surgery physician in Poway, California. Individual provider, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1023512332 (Entity type: Individual)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** A186032 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15611 POMERADO RD STE 400, Poway, CA 92064-2437
- **Phone:** (858) 618-1191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arch Health Partners, Inc (NPI 1649500141, Poway, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2018
## Record status
- **NPPES last updated:** December 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023512332) · Data from the CMS NPPES public registry.