STEPHANIE KLOTH (PAC) – Physician Assistant, NPI 1073031761
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for STEPHANIE KLOTH (PAC)
FRANKLIN PARK MEDICAL BUILDING 220 EAST ROWAN
#300
SPOKANE, WA 99207
Phone: (509) 489-3554
Type: Mailing
840 N 5th Ave Ste 1500
Sequim, WA 983823045
Phone: (360) 565-0999
Fax: (360) 565-9251
Type: Location
300, East Rowan Avenue, Hillyard, Spokane, Spokane County, Washington, 99207, United States
SPOKANE, WA 992071203
Phone: (509) 489-3554
Type: Location
PO BOX 850
PORT ANGELES, WA 983620146
Phone: (360) 565-0999
Fax: (360) 565-9251
Type: Mailing
907 GEORGIANA ST
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 565-9251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-09-10
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 |
|---|---|---|---|---|
| I20190910000803 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 117 | 91 | $0 |
| 81003 | Automated urinalysis test | 66 | 54 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 15 | 14 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 13 | 12 | $0 |
Insurance plans in this area (ZIP 99207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| Family Practice | WA | |
| - | AK |
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