MALCOLM AJ DUGLISS (PA-C) – Surgical Physician Assistant, NPI 1336296193

MALCOLM AJ DUGLISS (PA-C) is a healthcare provider. based in Olympia, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61397889 (WA). The NPI Number for MALCOLM AJ DUGLISS (PA-C) is 1336296193

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MALCOLM AJ DUGLISS (PA-C)
NPI
1336296193
Phone
(360) 493-4510
Address
525 Lilly Rd NE Ste 200
Enumeration Date
4 January 2007
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534282200
Graduation Year
2000 (26 years ago)
PAC ID
1759450398
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20230630002844
Address ID
WA984054965TA1812XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for MALCOLM AJ DUGLISS (PA-C)

  • 525 Lilly Rd NE Ste 200

    Olympia, WA 985065101

    Phone: (360) 493-4510

    Fax: (360) 493-7759

    Type: Location

  • 257, McDowell Street, Biltmore Village, Asheville, Buncombe County, North Carolina, 28803, United States

    ASHEVILLE, NC 288032606

    Phone: (828) 258-1121

    Fax: (828) 252-6114

    Type: Mailing

  • 1802 YAKIMA AVE STE 102

    TACOMA, WA 984055303

    Phone: (253) 272-7777

    Fax: (253) 426-4142

    Type: Mailing

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: 2023-06-30

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
I20230630002844IPhysician AssistantWATBD

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
33533Coronary artery bypass using artery graft, 1 graft1111$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

Does MALCOLM AJ DUGLISS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MALCOLM AJ DUGLISS (PA-C) uses 1336296193.
Is MALCOLM AJ DUGLISS (PA-C) still practicing?
MALCOLM AJ DUGLISS (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MALCOLM AJ DUGLISS (PA-C) hold?
Scheduling teams often label MALCOLM AJ DUGLISS (PA-C) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MALCOLM AJ DUGLISS (PA-C)?
MALCOLM AJ DUGLISS (PA-C)'s geographic hint is Olympia, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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