WILLIAM MOORE VANNEMAN (M.D.) – Gastroenterology Physician, NPI 1124075718

WILLIAM MOORE VANNEMAN (M.D.) is a healthcare provider. based in Stoneham, Massachusetts. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 38046 (MA). The NPI Number for WILLIAM MOORE VANNEMAN (M.D.) is 1124075718

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM MOORE VANNEMAN (M.D.)
NPI
1124075718
Phone
(781) 864-1295
Address
91 MONTVALE AVE
Enumeration Date
28 May 2006
Last Update Date
6 November 2012

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
4134472745
Graduation Year
1970 (56 years ago)
PAC ID
9335198076
Group Practice PAC ID
8224068424
Professional Enrollment ID
I20101215000308
Address ID
MA012014147PI777XXSTXX314
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for WILLIAM MOORE VANNEMAN (M.D.)

  • 91, Montvale Avenue, Nobility Hill Historic District, Lindenwood, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 021803623

    Phone: (781) 864-1295

    Type: Mailing

  • 955 Main St, Main Street, Winchester, Middlesex County, Massachusetts, 01890, United States

    WINCHESTER, MA 018901961

    Phone: (781) 729-5855

    Fax: (781) 721-5891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101215000308IGastroenterologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope4642$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4444$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3829$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3636$0
45380Biopsy of large bowel using a flexible endoscope3332$0
View full utilization report →

Insurance plans in this area (ZIP 02180)

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Provider's Procedures

WILLIAM MOORE VANNEMAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMA45378Diagnostic examination of large bowel using an endoscope1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224068424View full group profile
NameSpecialtyState
-MA
Physician AssistantMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)PA
Family PracticeMA

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Frequently asked questions

What number should I use to identify WILLIAM MOORE VANNEMAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124075718 for WILLIAM MOORE VANNEMAN (M.D.).
Quick check: is WILLIAM MOORE VANNEMAN (M.D.) active?
Public NPPES data shows WILLIAM MOORE VANNEMAN (M.D.) with an active NPI status right now.
Which specialty label fits WILLIAM MOORE VANNEMAN (M.D.)?
NPPES ties WILLIAM MOORE VANNEMAN (M.D.) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLIAM MOORE VANNEMAN (M.D.)?
WILLIAM MOORE VANNEMAN (M.D.) is associated with Stoneham, Massachusetts in the same public data insurers reference.
Who maintains WILLIAM MOORE VANNEMAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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