ASHLEY M JERATH TATUM (M.D.) – Allergy & Immunology Physician, NPI 1174559686

ASHLEY M JERATH TATUM (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in Allergy & Immunology Physician. They hold the professional credentials M.D.. They hold a License No. MD00040523 (WA). The NPI Number for ASHLEY M JERATH TATUM (M.D.) is 1174559686

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY M JERATH TATUM (M.D.)
NPI
1174559686
Phone
(206) 527-1200
Address
9725 3RD AVE NE STE 500
Enumeration Date
25 June 2006
Last Update Date
3 September 2019

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2065271200
Graduation Year
1995 (31 years ago)
PAC ID
8022134873
Group Practice PAC ID
6507759743
Professional Enrollment ID
I20100929000766
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ASHLEY M JERATH TATUM (M.D.)

  • 3rd Avenue Northeast, Northgate, Seattle, King County, Washington, 98175, United States

    SEATTLE, WA 981152024

    Phone: (206) 527-1200

    Fax: (206) 527-2514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $866.

Total Amount is formed as General ($866) + Research ($0) + Ownership ($0) = $866.

Last reported payment date: 2024-05-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($264).

Total Amount

$866

General + Research + Ownership

Payments

32

Total payment records

General Amount

$866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-28

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: 2010-09-29

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
I20100929000766IAllergy/ImmunologyWATBD

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
J2357Injection, omalizumab, 5 mg6,06022$0
95165Professional service for preparation and provision of 1 or more antigens71659$0
95004Test for allergy using allergenic extract37824$0
96372Injection of drug or substance under skin or into muscle22424$0
95117Professional service for multiple injections of allergen17029$0
View full utilization report →

Insurance plans in this area (ZIP 98115)

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Provider's Procedures

ASHLEY M JERATH TATUM (M.D.) performs procedures in Allergy & Immunology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYWA95004Injection of allergenic extracts into skin, accessed through the skin62232
ALLERGY/IMMUNOLOGYWA95117Injection of incremental dosages of allergen, 2 or more injections6017

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: 6507759743View full group profile

Reviews

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Frequently asked questions

What federal number belongs to ASHLEY M JERATH TATUM (M.D.)?
The federal identifier for ASHLEY M JERATH TATUM (M.D.) is NPI 1174559686.
Does this profile mean ASHLEY M JERATH TATUM (M.D.) is currently active?
Yes — ASHLEY M JERATH TATUM (M.D.) appears active in the national provider directory.
Can you summarize ASHLEY M JERATH TATUM (M.D.)'s specialty in plain language?
Clinically, the directory lists ASHLEY M JERATH TATUM (M.D.) with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ASHLEY M JERATH TATUM (M.D.)?
We surface Seattle, Washington for ASHLEY M JERATH TATUM (M.D.) based on available NPPES addresses.
Is ASHLEY M JERATH TATUM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1174559686. Always confirm identity and privileges with the practice and licensing boards.

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