RANDALL LEE WOLTJER (M.D.) – Neuropathology Physician, NPI 1356444772

RANDALL LEE WOLTJER (M.D.) is a healthcare provider. based in Bainbridge island, Washington. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00041181 (WA). The NPI Number for RANDALL LEE WOLTJER (M.D.) is 1356444772

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL LEE WOLTJER (M.D.)
NPI
1356444772
Phone
(206) 842-5984
Address
8270 NE BLAKELY HEIGHTS DR
Enumeration Date
7 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
1994 (32 years ago)
PAC ID
1759383151
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20070214000284
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

369 PATHOLOGY in WA

Provider Addresses for RANDALL LEE WOLTJER (M.D.)

  • 8270, Northeast Blakely Heights Drive, Lynwood Center, Bainbridge Island, Kitsap County, Washington, 98110, United States

    BAINBRIDGE ISLAND, WA 981102298

    Phone: (206) 842-5984

    Type: Mailing

  • 325 NINTH AVE

    HARBORVIEW MEDICAL CENTER, NEUROPATHOLOGY, RM 2EH87

    SEATTLE, WA 98104

    Phone: (206) 731-6776

    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: 2007-02-14

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
I20070214000284IPathologyORTBD

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
88341Special stained specimen slides to examine tissue, each additional procedure6513$0
88307Pathology examination of tissue using a microscope, moderately high complexity2611$0
88342Special stained specimen slides to examine tissue, initial procedure1715$0
View full utilization report →

Insurance plans in this area (ZIP 98110)

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Provider's Procedures

RANDALL LEE WOLTJER (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYWA88307Pathology examination of tissue using a microscope, moderately high complexity6933

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: 4880760107View full group profile

Reviews

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Frequently asked questions

How do I look up RANDALL LEE WOLTJER (M.D.) by NPI?
Use NPI 1356444772 when you need to reference RANDALL LEE WOLTJER (M.D.) in forms, claims, or directories.
Is RANDALL LEE WOLTJER (M.D.)'s NPI currently valid?
The extract we use shows RANDALL LEE WOLTJER (M.D.) as active.
Does RANDALL LEE WOLTJER (M.D.) list a primary specialty?
If you are matching referrals, note Neuropathology Physician for RANDALL LEE WOLTJER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for RANDALL LEE WOLTJER (M.D.)?
We surface Bainbridge Island, Washington for RANDALL LEE WOLTJER (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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