WILLIAM ERNEST EGGEBROTEN (MD) – Surgery Physician, NPI 1346394574

WILLIAM ERNEST EGGEBROTEN (MD) is a healthcare provider. based in Steilacoom, Washington. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. MD00024739 (WA). The NPI Number for WILLIAM ERNEST EGGEBROTEN (MD) is 1346394574

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM ERNEST EGGEBROTEN (MD)
NPI
1346394574
Phone
(253) 581-6978
Address
90 TATOOSH PL
Enumeration Date
23 January 2007
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534037537
Graduation Year
1977 (49 years ago)
PAC ID
3678751740
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20110621000443

Contacts

Secure Messaging
weggebroten316702@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for WILLIAM ERNEST EGGEBROTEN (MD)

  • 90, Tatoosh Place, Madrona Park, Steilacoom, Pierce County, Washington, 98388, United States

    STEILACOOM, WA 983881434

    Phone: (253) 581-6978

    Type: Mailing

  • 1720 Cooks Hill Rd

    Centralia, WA 985319071

    Phone: (360) 827-8100

    Fax: (360) 827-8120

    Type: Location

  • 9040 JACKSON AVE DEPARTMENT OF SURGERY

    TACOMA, WA 984310001

    Phone: (253) 968-1345

    Fax: (253) 968-0232

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: Novo Nordisk Inc ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$48
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: 2011-06-21

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
I20110621000443IGeneral SurgeryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98388)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Can I cross-check WILLIAM ERNEST EGGEBROTEN (MD) using NPI 1346394574?
NPI 1346394574 belongs to WILLIAM ERNEST EGGEBROTEN (MD); compare other details if you need extra assurance.
Is WILLIAM ERNEST EGGEBROTEN (MD) shown as active in public data?
Registry records indicate WILLIAM ERNEST EGGEBROTEN (MD) maintains an active NPI.
How would a patient describe WILLIAM ERNEST EGGEBROTEN (MD)'s focus?
For WILLIAM ERNEST EGGEBROTEN (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WILLIAM ERNEST EGGEBROTEN (MD)?
Directory geography for WILLIAM ERNEST EGGEBROTEN (MD) centers on Steilacoom, Washington.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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