DR. BENJAMIN BRYCE BETTERIDGE (MD, CAQ SPORTS MEDIC) – Sports Medicine (Emergency Medicine) Physician, NPI 1225007388
Sports Medicine (Emergency Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
188 SPORTS MEDICINE in WA
Provider Addresses for DR. BENJAMIN BRYCE BETTERIDGE (MD, CAQ SPORTS MEDIC)
9505 S Steele St
Tacoma, WA 984441858
Phone: (253) 597-6800
Type: Location
2721 SOUNDVIEW DR. WEST
UNIVERSITY PLACE, WA 98466
Phone: (253) 283-9954
Type: Mailing
3733 SO THOMPSON AVE
TACOMA, WA 98418
Phone: (253) 472-4473
Fax: (253) 474-3056
Type: Location
2721 SOUNDVIEW DR W
UNIVERSITY PLACE, WA 984661725
Phone: (253) 283-9954
Fax: (253) 283-9954
Type: Location
South Steele Street, Tacoma, Pierce County, Washington, 98444-1858, United States
TACOMA, WA 984441858
Phone: (253) 597-6800
Type: Mailing
Medical Drive, Bountiful, Davis County, Utah, 84010, United States
SUITE #220
BOUNTIFUL, UT 840104945
Phone: (801) 298-2495
Fax: (801) 295-2801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Novo Nordisk Inc ($125).
Total Amount
$208
General + Research + Ownership
Payments
4
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $125 |
| Amgen Inc. | $30 |
| Bayer Healthcare Pharmaceuticals Inc. | $28 |
| Janssen Pharmaceuticals, Inc | $25 |
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: 2007-01-19
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 |
|---|---|---|---|---|
| I20070119000361 | I | Sports Medicine | 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 98444)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery, Hand Surgery | WA | |
| Occupational Therapist In Private Practice | WA | |
| - | WA | |
| Orthopedic Surgery, Sports Medicine | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
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