DR. CHARLES VAUGHAN BULFINCH (D.O.) – Family Medicine Physician, NPI 1104181221

DR. CHARLES VAUGHAN BULFINCH (D.O.) is a healthcare provider. based in Yakima, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OL60287940 (WA). The NPI Number for DR. CHARLES VAUGHAN BULFINCH (D.O.) is 1104181221

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES VAUGHAN BULFINCH (D.O.)
NPI
1104181221
Phone
(509) 452-4520
Address
1806 W LINCOLN AVE
Enumeration Date
5 July 2012
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094524520
Graduation Year
2012 (14 years ago)
PAC ID
5597988766
Group Practice PAC ID
4183536931
Professional Enrollment ID
I20150205000761
Address ID
WA989022473YA1806XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. CHARLES VAUGHAN BULFINCH (D.O.)

  • 1806 W LINCOLN AVE

    YAKIMA, WA 989022473

    Phone: (509) 452-4520

    Fax: (509) 452-5224

    Type: Mailing

  • 1420 AHTANUM RIDGE DR

    UNION GAP, WA 989031839

    Phone: (509) 454-7700

    Type: Location

  • PO BOX 719

    SUNNYSIDE, WA 989440719

    Phone: (509) 837-1617

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 332 Open Payments records for all available years, with a total value of $5,854.

Total Amount is formed as General ($5,854) + Research ($0) + Ownership ($0) = $5,854.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($818).

Total Amount

$5,854

General + Research + Ownership

Payments

332

Total payment records

General Amount

$5,854

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2015-02-05

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
I20150205000761IFamily 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
85610Blood test, clotting time2312$0
81002Urinalysis, manual test2016$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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Provider's Procedures

DR. CHARLES VAUGHAN BULFINCH (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA83036Hemoglobin A1C level147102

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: 4183536931View full group profile
NameSpecialtyState
-WA
-WA
Family PracticeWA
Clinical PsychologistWA
Clinical PsychologistWA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLES VAUGHAN BULFINCH (D.O.)'s NPI?
Yes. DR. CHARLES VAUGHAN BULFINCH (D.O.) is listed with NPI 1104181221 in the public NPI dataset.
Does CMS list DR. CHARLES VAUGHAN BULFINCH (D.O.) as active?
Yes — DR. CHARLES VAUGHAN BULFINCH (D.O.) is active in the NPI listing used on this page.
What is DR. CHARLES VAUGHAN BULFINCH (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. CHARLES VAUGHAN BULFINCH (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is DR. CHARLES VAUGHAN BULFINCH (D.O.) based?
DR. CHARLES VAUGHAN BULFINCH (D.O.) is tied to Yakima, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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