DESTRY G WASHBURN (D.O.) – Pulmonary Disease Physician, NPI 1992021463

DESTRY G WASHBURN (D.O.) is a healthcare provider. based in Moreno valley, California. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials D.O.. They hold a License No. 20A11909 (CA). The NPI Number for DESTRY G WASHBURN (D.O.) is 1992021463

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DESTRY G WASHBURN (D.O.)
NPI
1992021463
Phone
(951) 656-1500
Address
PO BOX 7270
Enumeration Date
9 April 2010
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516561500
Graduation Year
2010 (16 years ago)
PAC ID
9234352402
Group Practice PAC ID
9436253515
Professional Enrollment ID
I20140516000803
Address ID
CA925553927MO26520AVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DESTRY G WASHBURN (D.O.)

  • PO BOX 7270

    MORENO VALLEY, CA 925527270

    Phone: (951) 656-1500

    Fax: (951) 656-1510

    Type: Mailing

  • Riverside University Health System - Medical Center, 26520, Cactus Avenue, Moreno Valley, Riverside County, California, 92555, United States

    MORENO VALLEY, CA 925553927

    Phone: (951) 486-5700

    Fax: (951) 486-5705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($57).

Total Amount

$92

General + Research + Ownership

Payments

4

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2014-05-16

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
I20140516000803IInternal MedicineCATBD

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
99291Critical care, first 30-74 minutes21098$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5548$0
94016Test to measure expiratory airflow and volume initiated by patient and evaluated by provider2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
94618Test for exercise-induced lung stress1716$0
View full utilization report →

Insurance plans in this area (ZIP 92552)

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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: 9436253515View full group profile
NameSpecialtyState
Physician AssistantCA
Internal MedicineCA
H O S P I T A L I S TCA
Internal MedicineCA
H O S P I T A L I S TCA
Physician AssistantCA
Internal MedicineCA
H O S P I T A L I S TCA
Internal Medicine, HospitalistAZ
Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DESTRY G WASHBURN (D.O.)?
DESTRY G WASHBURN (D.O.) — NPI 1992021463 — is the standard way to identify this listing.
Can I rely on DESTRY G WASHBURN (D.O.) being an active provider?
As of the registry snapshot, DESTRY G WASHBURN (D.O.) is marked active.
What taxonomy line describes DESTRY G WASHBURN (D.O.)?
For research purposes, treat DESTRY G WASHBURN (D.O.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DESTRY G WASHBURN (D.O.) serve?
DESTRY G WASHBURN (D.O.)'s listing highlights Moreno Valley, California; more addresses can appear in NPPES.
Why does DESTRY G WASHBURN (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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