KATHERINE MARIE VAILLANCOURT MD
NPI 1770112260
Family Medicine in Stamford, CT

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
1351 WASHINGTON BLVD, STAMFORD, CT 06902(203) 621-3700(203) 621-3711 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Apr 6, 2020 (2 updates tracked since 2020).

About Katherine Marie Vaillancourt Md NPPES

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

KATHERINE MARIE VAILLANCOURT MD (NPI 1770112260) is an individual family medicine provider in Stamford, Connecticut, licensed in Connecticut (75322) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770112260
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHERINE MARIE VAILLANCOURTCredential: MD
Location Address1351 WASHINGTON BLVDStamford, CT 06902-2419
Mailing Address1351 Washington BlvdStamford, CT 06902-2419 · (203) 621-3700 · Fax (203) 621-3711
Fax(203) 621-3711
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1770112260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 75322
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1351 WASHINGTON BLVD, Stamford, CT 06902

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

Katherine Marie Vaillancourt 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 ID8729441423
PECOS Enrollment IDI20230829001043
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 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Nurse Practitioner (Obstetrics & Gynecology)
1351 WASHINGTON BLVD, THIRD FLOOR, DEPT. OF OB/GYN
STAMFORD, CT 06902
Family Medicine
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Ophthalmology
1351 WASHINGTON BLVD, SUITE 101
STAMFORD, CT 06902
Family Medicine
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Psychiatry & Neurology (Psychiatry)
1351 WASHINGTON BLVD, 1ST FLOOR (DBBHC)
STAMFORD, CT 06902
Obstetrics & Gynecology
1351 WASHINGTON BLVD
STAMFORD, CT 06902
Surgery
1351 WASHINGTON BLVD, 6TH FLOOR
STAMFORD, CT 06902
Surgery
1351 WASHINGTON BLVD, 6TH FLOOR
STAMFORD, CT 06902

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 Katherine Vaillancourt's NPI number?

The NPI number for Katherine Vaillancourt is 1770112260. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Katherine Vaillancourt located?

Katherine Vaillancourt practices at 1351 Washington Blvd, Stamford, CT 06902. The listed phone number is (203) 621-3700.

What is Katherine Vaillancourt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Vaillancourt enrolled in Medicare?

Yes. Katherine Vaillancourt 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 Katherine Vaillancourt was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.