DR. JOHN D GONSOULIN (MD) – Psychiatry Physician, NPI 1073761524

DR. JOHN D GONSOULIN (MD) is a healthcare provider. based in Seattle, Washington. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD60170773 (WA). The NPI Number for DR. JOHN D GONSOULIN (MD) is 1073761524

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN D GONSOULIN (MD)
NPI
1073761524
Phone
(206) 543-6577
Address
1959 NE Pacific St
Enumeration Date
8 September 2008
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2534282200
Graduation Year
2008 (18 years ago)
PAC ID
9830367697
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20110721000441
Address ID
WA984054965TA1812XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

710 PSYCHIATRY in WA

Provider Addresses for DR. JOHN D GONSOULIN (MD)

  • 1959 NE Pacific St

    dept of psychiatry & behavioral sciences, Box356560

    Seattle, WA 981950001

    Phone: (206) 543-6577

    Type: Location

  • Levin Road Northwest, Silverdale, Kitsap County, Washington, 98383-9487, United States

    SILVERDALE, WA 98383

    Phone: (360) 337-8200

    Fax: (360) 337-6956

    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: 2011-07-21

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
I20110721000441IPsychiatryWATBD

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 minutes29486$0
99443Telephone medical discussion with physician, 21-30 minutes9742$0
90833Psychotherapy with evaluation and management visit, 30 minutes6930$0
99215Established patient office or other outpatient visit, 40-54 minutes4728$0
99213Established patient office or other outpatient visit, 20-29 minutes4626$0
View full utilization report →

Insurance plans in this area (ZIP 98195)

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Provider's Procedures

DR. JOHN D GONSOULIN (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYWA90792Psychiatric diagnostic evaluation with medical services3333
PSYCHIATRYWA90836Psychotherapy, 45 minutes with patient and/or family member10811

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: 0547173866View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. JOHN D GONSOULIN (MD) across health systems?
The NPI 1073761524 uniquely identifies DR. JOHN D GONSOULIN (MD) in U.S. healthcare data.
Does the public listing show DR. JOHN D GONSOULIN (MD) as active?
DR. JOHN D GONSOULIN (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. JOHN D GONSOULIN (MD)'s listing?
DR. JOHN D GONSOULIN (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN D GONSOULIN (MD) tied to Seattle, Washington?
If you are local to Seattle, Washington, DR. JOHN D GONSOULIN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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