TOBI N THALLER (MD) – Family Medicine Physician, NPI 1215355185
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for TOBI N THALLER (MD)
1501 BAY AVE STE 201
OCEAN PARK, WA 986404203
Phone: (360) 642-6387
Fax: (360) 642-0064
Type: Mailing
2690 NE KRESKY AVE
CHEHALIS, WA 985322412
Phone: (360) 330-9595
Fax: (360) 330-9560
Type: Mailing
300 OCEAN AVE
RAYMOND, WA 985773016
Phone: (360) 942-3040
Fax: (360) 942-3955
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $374.
Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Amgen Inc. ($124).
Total Amount
$374
General + Research + Ownership
Payments
17
Total payment records
General Amount
$374
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $124 |
| AstraZeneca Pharmaceuticals LP | $55 |
| PFIZER INC. | $47 |
| Lilly USA, LLC | $40 |
| Bayer Healthcare Pharmaceuticals Inc. | $39 |
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: 2018-01-12
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 |
|---|---|---|---|---|
| I20180112002191 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| General Practice | WA | |
| Nurse Practitioner | WA |
Reviews
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