ANDREW RICHARD VACLAVIK (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1861528275

ANDREW RICHARD VACLAVIK (MD) is a healthcare provider. based in West roxbury, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 250203 (MA). The NPI Number for ANDREW RICHARD VACLAVIK (MD) is 1861528275

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW RICHARD VACLAVIK (MD)
NPI
1861528275
Phone
(201) 575-5016
Address
1400 VFW PKWY
Enumeration Date
27 February 2007
Last Update Date
5 December 2014

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8572828100
Graduation Year
2005 (21 years ago)
PAC ID
5395901698
Group Practice PAC ID
3971987108
Professional Enrollment ID
I20120731000324
Address ID
MA018034945BU47XXXTPKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for ANDREW RICHARD VACLAVIK (MD)

  • 1400 VFW PKWY

    WEST ROXBURY, MA 021324927

    Phone: (201) 575-5016

    Type: Location

  • 1400 VFW PARKWAY

    VA MEDICAL CENTER

    WEST ROXBURY, MA 02132

    Phone: (201) 575-5016

    Type: Mailing

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: 2012-07-31

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
I20120731000324IAnesthesiologyMATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4949$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3635$0
00400Anesthesia for other procedure on skin of arms, legs, and front body1919$0
00813Anesthesia for procedure on small and large bowel using an endoscope1616$0
01402Anesthesia for procedure for total knee joint replacement1515$0
View full utilization report →

Insurance plans in this area (ZIP 02132)

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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: 3971987108View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YMA
Internal MedicineOH
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMN
Internal Medicine, HospitalistMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YNH
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MA

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Frequently asked questions

How do I look up ANDREW RICHARD VACLAVIK (MD) by NPI?
Use NPI 1861528275 when you need to reference ANDREW RICHARD VACLAVIK (MD) in forms, claims, or directories.
Is ANDREW RICHARD VACLAVIK (MD)'s NPI currently valid?
The extract we use shows ANDREW RICHARD VACLAVIK (MD) as active.
What kind of provider is ANDREW RICHARD VACLAVIK (MD)?
The page reflects Pain Medicine (Anesthesiology) Physician for ANDREW RICHARD VACLAVIK (MD). Clinical services aligned with this taxonomy classification.
Does ANDREW RICHARD VACLAVIK (MD) practice in Massachusetts?
You will see West Roxbury, Massachusetts on file for ANDREW RICHARD VACLAVIK (MD) alongside any extra practice locations.
What if West Roxbury, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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