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DR. ANDREW JOHN CLAFFEY MD
NPI 1750961223
Obstetrics & Gynecology in Burlington, VT

Active since April 09, 2021PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 4, 2025, Apr 9, 2021 (2 updates tracked since 2021).

About Dr. Andrew John Claffey Md NPPES

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

DR. ANDREW JOHN CLAFFEY MD (NPI 1750961223) is an individual obstetrics & gynecology provider in Burlington, Vermont, licensed in Vermont (042.0018676) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1750961223
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANDREW JOHN CLAFFEYCredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address151 Park StBuffalo, NY 14201-1568
Phone(802) 847-0000
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1750961223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VT · 042.0018676
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Location 1

Location 15200 Harry Hines BlvdDallas, TX 75235-7709 · Phone (214) 590-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew John Claffey Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Claffey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Vermont Medical Center Inc
Same address
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000
Porter Hospital Inc
21 mi
Advanced Practice Midwife
20 ARMORY LN
Vergennes, VT 05491
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1134457013 (Vermont)
  • 243 clinicians in this Medicare group
NPI 1548380819 (802) 877-0022
Central Vermont Medical Center Inc
36 mi
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 562 clinicians in this Medicare group
NPI 1023028784 (802) 371-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Andrew Claffey's NPI number?

The NPI number for Andrew Claffey is 1750961223. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Andrew Claffey located?

Andrew Claffey practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Andrew Claffey's specialty?

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

Is Andrew Claffey enrolled in Medicare?

Yes. Andrew Claffey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Claffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Claffey reassigns Medicare benefits to 3 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Porter Hospital Inc (Vergennes, VT) and Central Vermont Medical Center Inc (Berlin, VT). Each 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 Andrew Claffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Claffey accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew Claffey 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.

When was this NPI record last updated?

The NPPES record for Andrew Claffey was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.