BRYAN BLYTHE – Medical Physician Assistant, NPI 1366422602
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for BRYAN BLYTHE
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
BREMERTON, WA 983121894
Phone: (360) 475-4426
Fax: (360) 475-4344
Type: Location
500 SW 7th St Ste A205
Renton, WA 980572983
Phone: (877) 522-1275
Fax: (833) 888-7145
Type: Location
16410 SMOKEY POINT BLVD STE 101
ARLINGTON, WA 982238415
Phone: (877) 522-1275
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Braeburn Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $26 |
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: 2024-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130325000539 | I | Physician Assistant | WA | TBD |
| I20210322002168 | I | Physician Assistant | MT | TBD |
| I20220131001016 | I | Physician Assistant | NM | TBD |
| I20240130003284 | I | Physician Assistant | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | WA | |
| Physician Assistant | TX | |
| - | MD | |
| - | CA | |
| - | WA | |
| Physician Assistant | WA | |
| - | MN | |
| Nurse Practitioner | WA | |
| Physician Assistant | FL |
Reviews
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