TAVIS J TAYLOR (M.D.) – Internal Medicine Physician, NPI 1043207020
Internal Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
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Provider Addresses for TAVIS J TAYLOR (M.D.)
3036, Perry Avenue, Bremerton, Kitsap County, Washington, 98310, United States
SUITE A
BREMERTON, WA 983105349
Phone: (360) 627-8493
Fax: (360) 627-7920
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 1 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2023-07-17 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($111).
Total Amount
$111
General + Research + Ownership
Payments
1
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $111 |
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: 2008-11-20
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 |
|---|---|---|---|---|
| I20081120000640 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 91 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 38 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 33 | 24 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 33 | 18 | $0 |
Insurance plans in this area (ZIP 98310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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