DR. PETER MICHAEL VINCENT D.P.M
NPI 1982683322
Podiatrist - Sports Medicine in Kirkland, WA

Active since January 13, 2006Opted out of Medicare · through Aug 18, 2027
12911 120TH AVE NE STE C50, KIRKLAND, WA 98034(425) 899-3234(425) 899-3235 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Dr. Peter Michael Vincent D.p.m NPPES

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

DR. PETER MICHAEL VINCENT D.P.M (NPI 1982683322) is an individual sports medicine provider in Kirkland, Washington, licensed in Washington (PO00000750) and active in the NPI registry since January 2006. He has opted out of Medicare through August 18, 2027 and remains eligible to order and refer and is a graduate of California School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1982683322
Entity TypeIndividualMale
Primary Taxonomy213ES0000X
Provider Legal NameDR. PETER MICHAEL VINCENTCredential: D.P.M
Location Address12911 120TH AVE NE STE C50Kirkland, WA 98034-3080
Mailing Address12911 120th Ave Ne Ste C50Kirkland, WA 98034-3080 · (425) 899-3234 · Fax (425) 899-3235
Fax(425) 899-3235
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
NPI 1982683322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License Licensed in WA · PO00000750
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License PO000000750 (WA)
12911 120TH AVE NE STE C50, Kirkland, WA 98034

Accepted Insurance

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. Peter Michael Vincent D.p.m 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 August 18, 2025 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2025
Opt-Out In Effect ThroughAugust 18, 2027Opt-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.

Areas of Expertise CMS Part B claims 3

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.
38 services23 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Other Providers at the Same Location NPPES 2

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

Podiatrist (Sports Medicine)
12911 120TH AVE NE STE C50
KIRKLAND, WA 98034
Podiatrist (Sports Medicine)
12911 120TH AVE NE STE C50
KIRKLAND, WA 98034

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 Peter Vincent's NPI number?

The NPI number for Peter Vincent is 1982683322. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Peter Vincent located?

Peter Vincent practices at 12911 120th Ave NE Ste C50, Kirkland, WA 98034. The listed phone number is (425) 899-3234.

What is Peter Vincent's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Is Peter Vincent enrolled in Medicare?

No. Peter Vincent has opted out of Medicare through August 18, 2027. 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.

What insurance does Peter Vincent accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Peter Vincent 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 Peter Vincent was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.