JESS W BOUMA (MD) – Family Medicine Physician, NPI 1073538062
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for JESS W BOUMA (MD)
1717 S J St
Tacoma, WA 984054933
Phone: (253) 426-6341
Fax: (253) 426-6344
Type: Location
1717 S J ST STE 336
TACOMA, WA 984054933
Phone: (253) 426-4101
Fax: (253) 426-6936
Type: Mailing
MultiCare Tacoma General Hospital, 315, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98403, United States
TACOMA, WA 984054234
Phone: (253) 403-1547
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: 2005-04-13
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 |
|---|---|---|---|---|
| I20050413000037 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 126 | 124 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 45 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Internal Medicine | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Emergency Medicine | WA | |
| - | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WI | |
| - | WA |
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