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PERCIVAL CHRISTOPHER VANDAAM MPAS, PA-C
NPI 1104117431
Physician Assistant in Everett, MA

Active since April 20, 2011PECOS Enrolled
103 GARLAND STREET, WHIDDEN HOSPITAL EMERGENCY DEPARTMENT, EVERETT, MA 02149(617) 665-1000 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Percival Christopher Vandaam Mpas, Pa-c NPPES

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

PERCIVAL CHRISTOPHER VANDAAM MPAS, PA-C (NPI 1104117431) is an individual physician assistant in Everett, Massachusetts, licensed in Massachusetts (PA4149) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104117431
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePERCIVAL CHRISTOPHER VANDAAMCredential: MPAS, PA-C
Location Address103 GARLAND STREET, WHIDDEN HOSPITAL EMERGENCY DEPARTMENTEverett, MA 02149
Mailing AddressCambirdge Health Alliance., 1493 Cambridge StreetCambridge, MA 02139 · (617) 665-1000
Phone(617) 665-1000
Sole ProprietorNo
Enumeration DateApril 20, 2011
Last NPPES UpdateNovember 11, 2015
✔ NPI 1104117431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA4149✔ Licensed in RI · PA00579
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
103 GARLAND STREET, Everett, MA 02149
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Percival Christopher Vandaam Mpas, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02149 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOANNE WHITE OTR
General Acute Care Hospital
103 GARLAND STREET, WHIDDEN HOSPITAL
EVERETT, MA 02149
Middlesex County (617) 394-7686
MUGE M ERKAN M.D.
Internal Medicine (Pulmonary Disease)
103 GARLAND STREET, PULMONARY ASSOC. BOSTON
EVERETT, MA 02149
Middlesex County (617) 389-4666
CONSTANCE MARIE DEVITO PTA
Physical Therapy Assistant
103 GARLAND STREET, CAREER STAFF WHIDDEN MEMORIAL HOSPITAL
EVERETT, MA 02149
Middlesex County (781) 861-0810
MS. SHAMIMA MATHER RRT
Respiratory Therapist, Registered (Pulmonary Rehabilitation)
103 GARLAND STREET, LEWIS 136
EVERETT, MA 02149
Middlesex County (617) 394-7604

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 Percival Vandaam's NPI number?

The NPI number for Percival Vandaam is 1104117431. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Percival Vandaam located?

Percival Vandaam practices at 103 Garland Street Whidden Hospital Emergency Department, Everett, MA 02149. The listed phone number is (617) 665-1000.

What is Percival Vandaam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Percival Vandaam enrolled in Medicare?

Yes. Percival Vandaam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Percival Vandaam was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.