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DR. THOMAS CARMINE VANDEVEN D.O.
NPI 1972859114
Family Medicine in Mount Vernon, WA

Active since July 25, 2012Opted out of Medicare · through Apr 1, 2028
819 S 13TH ST, SRC RESIDENCY CLINIC, MOUNT VERNON, WA 98274(360) 814-6230 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Carmine Vandeven D.o. NPPES

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

DR. THOMAS CARMINE VANDEVEN D.O. (NPI 1972859114) is an individual family medicine provider in Mount Vernon, Washington, licensed in Washington (60297543) and active in the NPI registry since July 2012. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972859114
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS CARMINE VANDEVENCredential: D.O.
Location Address819 S 13TH ST, SRC RESIDENCY CLINICMount Vernon, WA 98274-4112
Mailing Address819 S 13th StMount Vernon, WA 98274-4112 · (360) 814-6230
Phone(360) 814-6230
Sole ProprietorYes
Enumeration DateJuly 25, 2012
Last NPPES UpdateAugust 26, 2013
✔ NPI 1972859114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 60297543
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.
819 S 13TH ST, Mount Vernon, WA 98274
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Carmine Vandeven D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

ANDREW MYLES TAGLE DO
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
DR. NAOMI S HOYLE MD
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
STANLEY JOSEPH MOORE MD
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
ALLISON LEA ABRESCH-MEYER D.O.
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
MATTHEW HALL DO
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
BENJAMIN MCLAUGHLIN D.O.
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
ATHENA CHEN MD
Student in an Organized Health Care Education/Training Program
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230
EMILY KUNZ-BROCKMAN DO
Family Medicine
819 S 13TH ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-6230

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 Thomas Vandeven's NPI number?

The NPI number for Thomas Vandeven is 1972859114. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Thomas Vandeven located?

Thomas Vandeven practices at 819 S 13th St Src Residency Clinic, Mount Vernon, WA 98274. The listed phone number is (360) 814-6230.

What is Thomas Vandeven's specialty?

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

Is Thomas Vandeven enrolled in Medicare?

No. Thomas Vandeven has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Vandeven was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.