ANTHONY BEAUMONT VAN BERGEYK (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1316987803
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for ANTHONY BEAUMONT VAN BERGEYK (MD)
3801 5TH ST SE STE 110
PUYALLUP, WA 983742106
Phone: (253) 845-9585
Fax: (253) 848-1126
Type: Location
20920 SR 410 E
Bonney Lake, WA 983916302
Phone: (253) 845-9585
Fax: (253) 848-1126
Type: Location
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Fax: (206) 264-8689
Type: Mailing
Rainier Orthopedic Institute, 3801, 5th Street Southeast, Puyallup, Pierce County, Washington, 98374, United States
SUITE 110
PUYALLUP, WA 983742106
Phone: (253) 845-9585
Fax: (253) 435-4785
Type: Location
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 $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($52).
Total Amount
$74
General + Research + Ownership
Payments
3
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $52 |
| Stryker Corporation | $23 |
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: 2005-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050913000743 | I | Orthopedic Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 116 | $0 |
| 73562 | X-ray of knee, 3 views | 138 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 70 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 74 | 58 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 74 | 52 | $0 |
Insurance plans in this area (ZIP 98374)
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Provider's Procedures
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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