NPPES file of Aug 9, 2026

Vance Laidlaw Fletcher, M.D.

Adult Medicine Physician · Mecca, CA

Vance Laidlaw Fletcher, M.D. is an adult medicine physician with a practice address in Mecca, California, and NPI 1336210061, issued on Nov 13, 2006. Check the license (California C186960, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336210061
Name
Vance Laidlaw Fletcher
Credential
M.D.
Primary taxonomy
Adult Medicine Physician 207QA0505X
License number
C186960 CA
Self-reported in NPPES; status is on the state search
Practice location
91275 66TH Ave, Mecca, CA 92254
Phone
(760) 396-1249
Enumerated
Nov 13, 2006
Record last updated
Oct 16, 2024
Fax
(760) 396-1253
Medicare enrollment
Enrolled (PECOS I20230829001741); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 91275 66TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Randolph Gibbs, MDIndependent Medical Examiner Physician1487859294
  2. Javier Hernandez, M.D.Pediatrics Physician1144318734
  3. Hussein Hijazi, MDFamily Medicine Physician1356737191
  4. Radd Horchin, DDSDentist1053535328
  5. Deborah KriegerCounselor1598510422
  6. Christian Maciel, LMFTMarriage & Family Therapist1629302336

Verify Vance Laidlaw Fletcher in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license C186960
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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76% fewer Medicare Part D claims than the average adult medicine physician in 2024

711 Medicare Part D claims for 235 beneficiaries, against an average of 3,002 among the 1,307 providers of this specialty who prescribed in Part D.

  1. Vance Fletcher711
  2. Specialty average3,002

Most prescribed

  1. Atorvastatin Calcium57 claims
  2. Ibuprofen47 claims
  3. Lisinopril45 claims
  4. Amlodipine Besylate43 claims
  5. Metformin Hcl33 claims
  6. Cephalexin29 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $35.20

2 payments; by number, the most common kind was food and beverage; the largest payer was Bayer Healthcare Pharmaceuticals Inc. The 664 providers of this specialty with any payment received $1,405.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Vance Fletcher$35.20
  2. Specialty average$1,405.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Southern California Permanente Medical GroupFontana, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Vance Laidlaw Fletcher among 386 adult medicine physician records in California

Vance Laidlaw Fletcher, M.D. is one of 386 adult medicine physician records with a practice address in California. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 65% newer
  • In a Medicare fileYes · 69% of these records are
  • In the CMS Doctors and Clinicians fileYes · 48% of these records are
  • Graduated1996 · median 2005 among the 187 with a school on file
  • Record last updated2024 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QA0505X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 adult medicine physician record lists a practice address in Mecca

They are 1 of the 30 NPPES records with a practice address in Mecca, and 386 adult medicine physician records in California.

The 8 adult medicine physician records with the nearest ZIP codes

  1. Frank Arian, M.D.Palm Springs, CA 922621093894529
  2. Alexander Frid, D.OPalm Springs, CA 922621790851442
  3. Welim AzingeEl Centro, CA 922431093036543
  4. Richard Fausel, DORancho Mirage, CA 922701457300295
  5. Nathan WilliamsThermal, CA 922741548345473
  6. Keri Valdez, MSN, FNPCalexico, CA 922311417590548
  7. Mariela VentocillaTwentynine Palms, CA 922771972846756
  8. Maryin Altamirano, MDBeaumont, CA 922231720575988

Common questions

What is Vance Laidlaw Fletcher, M.D.'s NPI number?

Vance Laidlaw Fletcher, M.D.'s National Provider Identifier (NPI) is 1336210061, issued on Nov 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Vance Laidlaw Fletcher, M.D. located?

The NPPES record lists a practice address at 91275 66TH Ave, Mecca, CA, 92254. Phone: (760) 396-1249. Providers update this record themselves, so call before visiting.

How can I verify Vance Laidlaw Fletcher, M.D.'s license?

NPPES lists California license number C186960, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Vance Laidlaw Fletcher, M.D. prescribe under Medicare Part D?

In 2024, Vance Laidlaw Fletcher, M.D. had 711 Medicare Part D claims for 235 beneficiaries; the average among adult medicine physician prescribers was 3,002. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.