JONATHAN KAISER PLOUDRE (M.D.) – Family Medicine Physician, NPI 1104827435
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for JONATHAN KAISER PLOUDRE (M.D.)
2116, East Section Street, Mount Vernon, Skagit County, Washington, 98274, United States
MOUNT VERNON, WA 982749124
Phone: (360) 428-1700
Fax: (360) 848-4350
Type: Location
3610 MERIDIAN ST
BELLINGHAM, WA 982251732
Phone: (360) 318-8800
Type: Mailing
2116 E SECTION ST
MOUNT VERNON, WA 982749124
Phone: (360) 428-1700
Fax: (360) 848-4350
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: 2005-07-22
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 |
|---|---|---|---|---|
| I20050722000345 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 226 | 110 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 142 | 99 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 87 | 74 | $0 |
| 83036 | Hemoglobin a1c level | 77 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 60 | $0 |
Insurance plans in this area (ZIP 98274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| Physician Assistant | NC | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| Family Practice | WA |
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