VASANT MUKUND THACKER MD
NPI 1679611461
Obstetrics & Gynecology in Medford, MA

Active since February 02, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 22D0077581 · Microscopy
101 MAIN ST, #210, MEDFORD, MA 02155(781) 396-8100(781) 391-9929 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vasant Mukund Thacker Md NPPES

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

VASANT MUKUND THACKER MD (NPI 1679611461) is an individual obstetrics & gynecology provider in Medford, Massachusetts, licensed in Massachusetts (39145) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Winchester Hospital.

NPPES Registry Identity

NPI1679611461
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameVASANT MUKUND THACKERCredential: MD
Location Address101 MAIN ST, #210Medford, MA 02155-4530
Mailing Address3 Pinehurst RoadBelmont, MA 02478-1517 · (617) 484-3668 · Fax (781) 391-9929
Fax(781) 391-9929
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateFebruary 2, 2007
Last NPPES UpdateDecember 2, 2011
NPI 1679611461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MA · 39145
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
101 MAIN ST, Medford, MA 02155

Other Identifiers 3

Medicare ID-Type UnspecifiedB07186
Medicaid0129917MA
Medicare UPINA31881

Accepted Insurance

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

Vasant Mukund Thacker 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.

PECOS PAC ID7214104611
PECOS Enrollment IDI20120126000293
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0077581

Vasant Thacker MD · Medford, MA
Active · expires Aug 31, 2026
CLIA Number22D0077581
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVasant M. Thacker
Laboratory Phone(617) 396-8100
Laboratory LocationVasant Thacker MD101 Main St #210, Medford, MA 02155
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services24 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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 20

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

Ophthalmology
101 MAIN ST, SUITE 208
MEDFORD, MA 02155
Clinic/Center (Medical Specialty)
101 MAIN ST, SUITE 216
MEDFORD, MA 02155
Internal Medicine
101 MAIN ST, SUITE 110
MEDFORD, MA 02155
Nurse Practitioner
101 MAIN ST, SUITE 110
MEDFORD, MA 02155
Obstetrics & Gynecology
101 MAIN ST, SUITE 217
MEDFORD, MA 02155
Internal Medicine
101 MAIN ST, HALLMARK HEALTH SYSTEM INC SUITE 116
MEDFORD, MA 02155
Dentist (General Practice)
101 MAIN ST, SUITE 206
MEDFORD, MA 02155
Dentist (General Practice)
101 MAIN ST, SUITE 206
MEDFORD, MA 02155

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 Vasant Thacker's NPI number?

The NPI number for Vasant Thacker is 1679611461. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Vasant Thacker located?

Vasant Thacker practices at 101 Main St #210, Medford, MA 02155. The listed phone number is (781) 396-8100.

What is Vasant Thacker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vasant Thacker enrolled in Medicare?

Yes. Vasant Thacker 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.

Does Vasant Thacker hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0077581) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vasant Thacker accept?

Health plans from Anthem Blue Cross and Blue Shield list Vasant Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vasant Thacker affiliated with any hospitals?

According to CMS data, Vasant Thacker is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Vasant Thacker was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.