DR. NICOLAS DU FAYET DE LA TOUR (DO) – Emergency Medicine Physician, NPI 1447900030

DR. NICOLAS DU FAYET DE LA TOUR (DO) is a healthcare provider. based in Worcester, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 1021938 (MA). The NPI Number for DR. NICOLAS DU FAYET DE LA TOUR (DO) is 1447900030

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLAS DU FAYET DE LA TOUR (DO)
NPI
1447900030
Phone
(508) 363-5000
Address
123 Summer St
Enumeration Date
25 March 2022
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5083635000
Graduation Year
2022 (4 years ago)
PAC ID
7517470966
Group Practice PAC ID
4981069580
Professional Enrollment ID
I20250630002674
Address ID
MA016081216WO123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,692 EMERGENCY MEDICINE in MA

Provider Addresses for DR. NICOLAS DU FAYET DE LA TOUR (DO)

  • 123 Summer St

    Worcester, MA 016081216

    Phone: (508) 363-5000

    Type: Location

  • PO BOX 100186

    GAINESVILLE, FL 326100186

    Phone:

    Type: Mailing

  • 1329 SW 16TH ST STE 5270

    GAINESVILLE, FL 326081128

    Phone: (352) 733-1471

    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: 2025-06-30

PECOS data refreshed: 2026-06-15

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
I20250630002674IEmergency MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01608)

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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: 4981069580View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineNH
Emergency MedicineRI
Emergency MedicinePA
Emergency MedicineMA
Emergency MedicinePA
Emergency MedicineCA

Reviews

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Frequently asked questions

Does DR. NICOLAS DU FAYET DE LA TOUR (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. NICOLAS DU FAYET DE LA TOUR (DO) uses 1447900030.
Does the file indicate DR. NICOLAS DU FAYET DE LA TOUR (DO) is practicing under active NPI?
Directory data currently reports DR. NICOLAS DU FAYET DE LA TOUR (DO) as active.
What is DR. NICOLAS DU FAYET DE LA TOUR (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. NICOLAS DU FAYET DE LA TOUR (DO) here. Clinical services aligned with this taxonomy classification.
What area does DR. NICOLAS DU FAYET DE LA TOUR (DO) serve?
DR. NICOLAS DU FAYET DE LA TOUR (DO)'s listing highlights Worcester, Massachusetts; more addresses can appear in NPPES.
Is the information about DR. NICOLAS DU FAYET DE LA TOUR (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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