Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1336146752
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 5096
BELLINGHAM, WA 982275096
Phone: (360) 738-2200
Fax: (360) 752-5653
Type: Mailing
4465, Cordata Parkway, Cordata, Bellingham, Whatcom County, Washington, 98226, United States
BELLINGHAM, WA 982268037
Phone: (360) 738-2200
Fax: (360) 752-5653
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Medtronic, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 |
|---|---|---|---|---|
| I20080515000728 | I | Endocrinology | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,760 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 454 | 224 | $0 |
| 83036 | Hemoglobin a1c level | 353 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 165 | 135 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 154 | 36 | $0 |
Insurance plans in this area (ZIP 98227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| P O D I A T R Y | WA | |
| Gynecological Oncology | WA | |
| - | FL | |
| Geriatric Medicine, Family Practice | WA | |
| Nurse Practitioner | WA | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear Medicine | MA | |
| - | TX | |
| Physician Assistant | OR | |
| Nurse Practitioner | NY |
Reviews
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