DR. LAUREN KATHLEEN FETTY (MD) – Diagnostic Radiology Physician, NPI 1407268857
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 DIAGNOSTIC RADIOLOGY in ME
Provider Addresses for DR. LAUREN KATHLEEN FETTY (MD)
731 SLIGO RD
NORTH YARMOUTH, ME 040976207
Phone:
Type: Mailing
939 CAROLINE ST
PORT ANGELES, WA 983623909
Phone: (360) 565-9003
Fax: (360) 565-9001
Type: Location
19020 33RD AVE W STE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $16 |
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: 2020-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200709002438 | I | Diagnostic Radiology | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 6,770 | 46 | $0 |
| 77067 | Screening mammography | 1,245 | 1,245 | $0 |
| 77063 | Screening 3d breast mammography | 1,244 | 1,244 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 296 | 290 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 200 | 182 | $0 |
Insurance plans in this area (ZIP 04097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology, Nuclear Medicine | WA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| Nuclear Medicine, Diagnostic Radiology | WA |
Reviews
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