MR. BRUCE R DOUGLAS (PA) – Physician Assistant, NPI 1417978842
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. BRUCE R DOUGLAS (PA)
21615 Pacific Hwy S
Des Moines, WA 981987703
Phone: (206) 878-7006
Type: Location
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
103, Camelia Street, Royal City, Grant County, Washington, 99357, United States
ROYAL CITY, WA 99357
Phone: (509) 663-8711
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: 2008-12-22
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 |
|---|---|---|---|---|
| I20081222000490 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98198)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists) | WA | |
| Gastroenterology, Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Internal Medicine | WA | |
| - | WA | |
| Internal Medicine, Hematology/Oncology | WA | |
| - | WA |
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