DR. DUSTIN T ENGELKEN (MD) – Pulmonary Disease Physician, NPI 1174683007

DR. DUSTIN T ENGELKEN (MD) is a healthcare provider. based in Olympia, Washington. specializing in INTERNAL MEDICINE, PULMONARY DISEASE, INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 060-0003284 (VT). The NPI Number for DR. DUSTIN T ENGELKEN (MD) is 1174683007

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN T ENGELKEN (MD)
NPI
1174683007
Phone
(360) 413-8272
Address
500 LILLY RD NE STE 201
Enumeration Date
11 December 2006
Last Update Date
28 March 2014

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9072654955
Graduation Year
2001 (25 years ago)
PAC ID
6305811423
Group Practice PAC ID
6709780265
Professional Enrollment ID
I20090416000207
Address ID
AK995085925AN4320XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for DR. DUSTIN T ENGELKEN (MD)

  • 201, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985065197

    Phone: (360) 413-8272

    Fax: (360) 413-8878

    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 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Pulmonx Corporation ($22).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

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: 2012-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090416000207IInternal MedicineTXTBD
I20121107000490IPulmonary DiseaseWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8959$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4645$0
99291Critical care, first 30-74 minutes4123$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3624$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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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: 6709780265View full group profile
NameSpecialtyState
Family PracticeAK
-AK
Internal MedicineNY
-AK
Diagnostic RadiologyNC
Nurse PractitionerAK
Family PracticeAK
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YWA
Certified Nurse Midwife (Cnm)AK

Reviews

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Frequently asked questions

Is DR. DUSTIN T ENGELKEN (MD) listed with a National Provider Identifier?
Yes — DR. DUSTIN T ENGELKEN (MD) has NPI 1174683007 on file in the registry.
Is DR. DUSTIN T ENGELKEN (MD) shown as active in public data?
Registry records indicate DR. DUSTIN T ENGELKEN (MD) maintains an active NPI.
What clinical focus is listed for DR. DUSTIN T ENGELKEN (MD)?
At a glance, DR. DUSTIN T ENGELKEN (MD) is tied to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. DUSTIN T ENGELKEN (MD) located near Olympia?
DR. DUSTIN T ENGELKEN (MD) currently maps to Olympia, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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