ELLIOT SPENCER BRESHEARS (MD) – Body Imaging Physician, NPI 1104484278
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
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Provider Addresses for ELLIOT SPENCER BRESHEARS (MD)
1959 NE PACIFIC STREET BOX 357115
SEATTLE, WA 981957115
Phone:
Type: Mailing
University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States
SEATTLE, WA 981952805
Phone: (206) 598-6483
Type: Location
PO BOX 26730
FEDERAL WAY, WA 980933730
Phone:
Type: Mailing
533 S 336TH ST STE C
FEDERAL WAY, WA 980036329
Phone: (253) 661-1700
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: 2025-08-20
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 |
|---|---|---|---|---|
| I20250820004922 | I | Diagnostic Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | WI | |
| Physician Assistant | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Physician Assistant | WA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA |
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