Individual provider Active NPI

Vincent Alan Chavanon, MD

  • Plastic and Reconstructive Surgery Physician
  • Orlando, FL
National Provider Identifier
1548502396
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME140034 Issued in FL
Practice address
125 W Copeland Dr
Orlando, FL 32806-2101
Phone
(321) 841-7090
Fax
(321) 843-2267
NPI assigned
Mar 20, 2013
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME140034 FL
Surgery of the Hand (Surgery) Physician 2086S0105X ME140034 FL
Plastic and Reconstructive Surgery Physician 2086S0122X ME140034 FL Primary

Addresses

Primary practice location

125 W Copeland Dr
Orlando, FL 32806-2101

Mailing address

125 W Copeland Dr
Orlando, FL 32806-2101
Phone (321) 841-7090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001737 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4587900428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Pittsburgh School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

125 W Copeland Dr
1St. FL
Orlando, FL 32806-2101
Phone (407) 648-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME140034FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

125 W Copeland Dr
Orlando, FL 32806
Phone (321) 841-7090

125 W Copeland Dr
Fl 1
Orlando, FL 32806
Phone (321) 841-7090

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 3

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1548502396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062101",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062101",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVANON",
        "first_name": "VINCENT",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME140034",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME140034",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME140034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.