JON EDWARD KRETZLER (M.D.) – Orthopaedic Surgery Physician, NPI 1417922840

JON EDWARD KRETZLER (M.D.) is a healthcare provider. based in Longview, Washington. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. MD00030913 (WA). The NPI Number for JON EDWARD KRETZLER (M.D.) is 1417922840

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JON EDWARD KRETZLER (M.D.)
NPI
1417922840
Phone
(360) 501-3400
Address
625 9TH AVE
Enumeration Date
20 February 2006
Last Update Date
25 July 2007

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3605013400
Graduation Year
1987 (39 years ago)
PAC ID
7113956590
Group Practice PAC ID
7315976792
Professional Enrollment ID
I20050817001006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JON EDWARD KRETZLER (M.D.)

  • 625, 9th Avenue, Longview, Cowlitz County, Washington, 98632, United States

    STE 210

    LONGVIEW, WA 986322465

    Phone: (360) 501-3400

    Fax: (360) 423-6862

    Mailing address matches the actual address.

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: 2005-08-17

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
I20050817001006IOrthopedic 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8214$0
99213Established patient office or other outpatient visit, 20-29 minutes5440$0
73521X-ray of both hips, 2 views2820$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2019$0
20610Aspiration and/or injection of fluid from large joint1813$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 7315976792View full group profile
NameSpecialtyState
Nurse PractitionerWA
Orthopedic SurgeryWA
Orthopedic SurgeryCA
P O D I A T R YWA
Orthopedic SurgeryWA
Orthopedic SurgeryWA
Hand Surgery, Orthopedic SurgeryWA
Nurse PractitionerWA
Physician AssistantWA
Orthopedic SurgeryWA

Reviews

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Frequently asked questions

Can I cross-check JON EDWARD KRETZLER (M.D.) using NPI 1417922840?
NPI 1417922840 belongs to JON EDWARD KRETZLER (M.D.); compare other details if you need extra assurance.
Would JON EDWARD KRETZLER (M.D.) appear as active to a payer?
You can treat JON EDWARD KRETZLER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JON EDWARD KRETZLER (M.D.)?
JON EDWARD KRETZLER (M.D.) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JON EDWARD KRETZLER (M.D.)?
Directory geography for JON EDWARD KRETZLER (M.D.) centers on Longview, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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