NICHOLAS JOHN VAUDREUIL (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1114332327

NICHOLAS JOHN VAUDREUIL (M.D.) is a healthcare provider. based in Everett, Washington. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. A167460 (CA). The NPI Number for NICHOLAS JOHN VAUDREUIL (M.D.) is 1114332327

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS JOHN VAUDREUIL (M.D.)
NPI
1114332327
Phone
(425) 339-2433
Address
1100 PACIFIC AVE STE 300
Enumeration Date
25 June 2014
Last Update Date
29 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4253392433
Graduation Year
2014 (12 years ago)
PAC ID
9234462789
Group Practice PAC ID
8527972900
Professional Enrollment ID
I20210812003737
Address ID
WA982014261EV1100XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

779 ORTHOPEDIC SURGERY in WA

Provider Addresses for NICHOLAS JOHN VAUDREUIL (M.D.)

  • 1100 PACIFIC AVE STE 300

    EVERETT, WA 982014261

    Phone: (425) 339-2433

    Fax: (425) 339-8273

    Type: Location

  • 6741 REYNOLDS ST FL 2

    PITTSBURGH, PA 152064511

    Phone: (208) 215-6185

    Type: Mailing

  • 6801 PARK TER

    LOS ANGELES, CA 900451543

    Phone: (310) 665-7200

    Type: Location

  • 6801 Park Ter

    Los Angeles, CA 900451543

    Phone: (310) 665-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $786.

Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Stryker Corporation ($714).

Total Amount

$786

General + Research + Ownership

Payments

8

Total payment records

General Amount

$786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190614002111IOrthopedic SurgeryPATBD
I20210812003737IOrthopedic SurgeryWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10768$0
20610Aspiration and/or injection of fluid from large joint6740$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
J1030Injection, methylprednisolone acetate, 40 mg4428$0
73502X-ray of hip, 2-3 views3427$0
View full utilization report →

Insurance plans in this area (ZIP 98201)

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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: 8527972900View full group profile
NameSpecialtyState
-WA
Orthopedic Surgery, Hand SurgeryWA
Occupational Therapist In Private PracticeWA
-WA
Orthopedic Surgery, Sports MedicineWA
-WA
-WA
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the registry number for NICHOLAS JOHN VAUDREUIL (M.D.)?
The registry entry for NICHOLAS JOHN VAUDREUIL (M.D.) shows NPI 1114332327.
Is NICHOLAS JOHN VAUDREUIL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists NICHOLAS JOHN VAUDREUIL (M.D.) as active.
What services align with NICHOLAS JOHN VAUDREUIL (M.D.)'s listing?
NICHOLAS JOHN VAUDREUIL (M.D.)'s public classification highlights Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to NICHOLAS JOHN VAUDREUIL (M.D.)?
NICHOLAS JOHN VAUDREUIL (M.D.) shows a connection to Everett, Washington in registry-derived data.
Can I export NICHOLAS JOHN VAUDREUIL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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