NPIMap

Individual provider Active NPI

Nicholas Scott Vachon, DPM

  • Podiatrist
  • Ellsworth, ME
National Provider Identifier
1245247139
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
198 Issued in ME
Practice address
318 Main St
Ellsworth, ME 04605-0662
Phone
(207) 667-2523
Fax
(207) 667-7307
NPI assigned
Aug 2, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 198 ME Primary

Addresses

Primary practice location

318 Main St
Ellsworth, ME 04605-0662

Mailing address

50 Union St
Ellsworth, ME 04605-1534
Phone (207) 667-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000276 ME Practitioner - Podiatry 8123076874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucksport Regional Health CenterGroup PAC ID 9638135858, 30 clinicians
Regional Medical Center at Lubec IncGroup PAC ID 8224949888, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

110 Bucksport
Bucksport, ME 04416

306 Main St
Ellsworth, ME 04605-1510
Phone (207) 664-5566

318 Main St
Ellsworth, ME 04605-1510
Phone (207) 667-2523

43 S Lubec Rd
Lubec, ME 04652-3620
Phone 20773310905201

50 Union St
Ellsworth, ME 04605-1534

57 Water St
Blue Hill, ME 04614-5231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of nail tissue291
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
198MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Sep 24, 2007 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Dec 5, 2016 Accepting new patients
Regional Medical Center at Lubec Past Accepting new patients

Locations

318 Main St
Ellsworth, ME 04605
Phone (207) 667-2523

37 Commerce Park
Ellsworth, ME 04605
Phone (207) 667-2422

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1245247139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-667-2523",
            "fax_number": "207-667-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050662",
            "telephone_number": "207-667-2523",
            "fax_number": "207-667-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.