DR. THOMAS SCOTT PANNKE (M.D.) – Emergency Medicine Physician, NPI 1396779716
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THOMAS SCOTT PANNKE (M.D.)
1016 Tacoma Ave
Sunnyside, WA 989442263
Phone: (509) 837-1500
Fax: (509) 837-1380
Type: Location
110 S 9th Ave
Yakima, WA 989023315
Phone: (509) 575-5000
Fax: (509) 454-6193
Type: Location
502 W 4th Ave
Toppenish, WA 989481616
Phone: (509) 865-3105
Fax: (509) 865-1519
Type: Location
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
Doctor Martin Luther King Junior Avenue Northeast, Nob Hill, Albuquerque, Bernalillo County, New Mexico, 87131, United States
ALBUQUERQUE, NM 871023619
Phone: (505) 727-8000
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: 2018-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180111002415 | I | Emergency Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98944)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine, Emergency Medicine | NM | |
| Emergency Medicine | AZ | |
| Emergency Medicine, Family Practice | AZ | |
| - | NM | |
| - | TX | |
| Family Practice, Emergency Medicine, Family Practice | TN | |
| - | NM | |
| Emergency Medicine, Family Practice | MN | |
| Emergency Medicine | GA | |
| Emergency Medicine, Family Practice, Family Practice | SC |
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