Percival Christopher Vandaam, MPAS, PA-C
NPI 1104117431ActiveIndividual· Physician Assistant· Everett, MA
Physician Assistant (MPAS, PA-C) in Everett, Massachusetts, licensed in MA and RI, with an NPI issued in April 2011. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1104117431 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Apr 20, 2011 |
| Last updated in NPPES | Nov 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA4149 | MA |
| Physician Assistant | 363A00000X | PA00579 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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