TRAVIS VANDEWATER MD
NPI 1881268217
Dermatology in Fargo, ND

Q: What is Travis Vandewater's NPI number?

The NPI number for Travis Vandewater is 1881268217. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Q: What is Travis Vandewater's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Vandewater was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment

4656 40TH AVE S, FARGO, ND 58104(701) 234-8860 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Travis Vandewater Md NPPES

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

TRAVIS VANDEWATER MD (NPI 1881268217) is an individual dermatology provider in Fargo, North Dakota, licensed in Wisconsin (82923-20) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1881268217

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameTRAVIS VANDEWATERCredential: MD

Location Address4656 40TH AVE SFargo, ND 58104-4397

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-8860

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2021

Enumeration DateMay 19, 2021

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1881268217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WI · 82923-20

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4656 40TH AVE S, Fargo, ND 58104

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Secondary Practice Location 1

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Travis Vandewater 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 ID7113325077

PECOS Enrollment IDI20251106005428

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.

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 13

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

DAVID B FLACH MD

Dermatology