DR. HOLMES RUSSELL JR. TROUTMAN (MD) – Surgery Physician, NPI 1316935778
Surgery Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for DR. HOLMES RUSSELL JR. TROUTMAN (MD)
PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986322367
Phone: (360) 501-3500
Fax: (360) 501-3555
Type: Location
Kaiser Permanente Olympia Medical Center, 700, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985065115
Phone: (360) 923-7000
Fax: (360) 923-7089
Type: Mailing
71780 San Jacinto Dr Bldg I
Rancho Mirage, CA 922705516
Phone: (760) 568-3461
Fax: (760) 423-6273
Type: Location
1615 Delaware St
Longview, WA 986322367
Phone: (360) 501-3500
Fax: (360) 501-3555
Type: Location
700 LILLY RD NE
OLYMPIA, WA 985065115
Phone: (360) 923-7000
Fax: (360) 923-7089
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-09-05
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 |
|---|---|---|---|---|
| I20190905002362 | I | General Surgery | CA | 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 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| H E M A T O L O G Y | CA | |
| Nurse Practitioner | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| - | WA | |
| P S Y C H I A T R Y | VA | |
| - | OR | |
| Nurse Practitioner | WA |
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