CHRISTOPHER S VANDIVORT M.D.
NPI 1063876126
Emergency Medicine in Alameda, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
1777 CLEMENT AVE APT 449, ALAMEDA, CA 94501(203) 273-2412 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2025, May 4, 2022, Jan 25, 2021 and 4 more (7 updates tracked since 2016).

About Christopher S Vandivort M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER S VANDIVORT M.D. (NPI 1063876126) is an individual emergency medicine provider in Alameda, California, licensed in Wisconsin (68711) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2016).

NPPES Registry Identity

NPI1063876126
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHRISTOPHER S VANDIVORTCredential: M.D.
Location Address1777 CLEMENT AVE APT 449Alameda, CA 94501-8082
Mailing Address1777 Clement Ave Apt 449Alameda, CA 94501-8082 · (203) 273-2412
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateJanuary 3, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1063876126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 68711
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1777 CLEMENT AVE APT 449, Alameda, CA 94501

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

Christopher S Vandivort M.d. 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.

PECOS PAC ID2163716119
PECOS Enrollment IDI20241226001066
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
98 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services61 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

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 Christopher Vandivort's NPI number?

The NPI number for Christopher Vandivort is 1063876126. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Christopher Vandivort located?

Christopher Vandivort practices at 1777 Clement Ave Apt 449, Alameda, CA 94501. The listed phone number is (203) 273-2412.

What is Christopher Vandivort's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Christopher Vandivort enrolled in Medicare?

Yes. Christopher Vandivort 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 Christopher Vandivort was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.