DR. TEK FISH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1245763127

DR. TEK FISH (DPM) is a healthcare provider. based in Camas, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO-61058890 (WA). The NPI Number for DR. TEK FISH (DPM) is 1245763127

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TEK FISH (DPM)
NPI
1245763127
Phone
(360) 450-6644
Address
405 NE 6TH AVE
Enumeration Date
6 April 2017
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604506644
Graduation Year
2017 (9 years ago)
PAC ID
8729406475
Group Practice PAC ID
2466870118
Professional Enrollment ID
I20201013001972
Address ID
WA986863252VA2205XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

360 PODIATRY in WA

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Provider Addresses for DR. TEK FISH (DPM)

  • 405, Northeast 6th Avenue, Oak Park, Camas, Clark County, Washington, 98607, United States

    CAMAS, WA 986072037

    Phone: (360) 450-6644

    Fax: (360) 524-7847

    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 35 Open Payments records for all available years, with a total value of $751.

Total Amount is formed as General ($751) + Research ($0) + Ownership ($0) = $751.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Organogenesis Inc. ($285).

Total Amount

$751

General + Research + Ownership

Payments

35

Total payment records

General Amount

$751

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2020-10-13

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
I20201013001972IPodiatryWATBD

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
11721Removal of fingernails or toenails, 6 or more nails337155$0
73630X-ray of foot, minimum of 3 views14074$0
99203New patient office or other outpatient visit, 30-44 minutes117117$0
99213Established patient office or other outpatient visit, 20-29 minutes10458$0
11056Removal of noncancer thickened skin growth, 2-4 growths9140$0
View full utilization report →

Insurance plans in this area (ZIP 98607)

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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: 2466870118View full group profile
NameSpecialtyState
P O D I A T R YWA
P O D I A T R YOH

Reviews

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Frequently asked questions

How do I look up DR. TEK FISH (DPM) by NPI?
Use NPI 1245763127 when you need to reference DR. TEK FISH (DPM) in forms, claims, or directories.
Is DR. TEK FISH (DPM) active in the national directory?
DR. TEK FISH (DPM)'s public NPI profile is in an active state.
What does DR. TEK FISH (DPM) treat or focus on?
Patients typically see DR. TEK FISH (DPM) under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TEK FISH (DPM)?
The page summarizes Camas, Washington for DR. TEK FISH (DPM); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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