LOREN B BETTERIDGE (MD) – Family Medicine Physician, NPI 1023015211

LOREN B BETTERIDGE (MD) is a healthcare provider. based in Tacoma, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 28116 (WA). The NPI Number for LOREN B BETTERIDGE (MD) is 1023015211

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
LOREN B BETTERIDGE (MD)
NPI
1023015211
Phone
(253) 472-4473
Address
3733 S THOMPSON AVE
Enumeration Date
1 July 2005
Last Update Date
3 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2534724473
Graduation Year
1988 (38 years ago)
PAC ID
9830215730
Group Practice PAC ID
7719875814
Professional Enrollment ID
I20100928001771
Address ID
WA984185013TA3733XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for LOREN B BETTERIDGE (MD)

  • 3733, South Thompson Avenue, Tacoma, Pierce County, Washington, 98418, United States

    TACOMA, WA 984185013

    Phone: (253) 472-4473

    Fax: (253) 474-3056

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $4,352.

Total Amount is formed as General ($4,352) + Research ($0) + Ownership ($0) = $4,352.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,122).

Total Amount

$4,352

General + Research + Ownership

Payments

222

Total payment records

General Amount

$4,352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-09-28

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
I20100928001771IFamily PracticeWATBD

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 minutes398141$0
99215Established patient office or other outpatient visit, 40-54 minutes3829$0
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
G0008Administration of influenza virus vaccine1212$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1111$0
View full utilization report →

Insurance plans in this area (ZIP 98418)

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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: 7719875814View full group profile
NameSpecialtyState
Internal MedicineWA
General PracticeWA

Reviews

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Frequently asked questions

What is the standard ID for LOREN B BETTERIDGE (MD) in the U.S.?
In the U.S., LOREN B BETTERIDGE (MD) is identified by NPI 1023015211.
Quick check: is LOREN B BETTERIDGE (MD) active?
Public NPPES data shows LOREN B BETTERIDGE (MD) with an active NPI status right now.
What type of care does LOREN B BETTERIDGE (MD) provide?
LOREN B BETTERIDGE (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LOREN B BETTERIDGE (MD) tied to Tacoma, Washington?
If you are local to Tacoma, Washington, LOREN B BETTERIDGE (MD) may be relevant to your search.
Who maintains LOREN B BETTERIDGE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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