TYCHO E KERSTEN (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1568438562
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
189 SPORTS MEDICINE in WA
Provider Addresses for TYCHO E KERSTEN (M.D.)
601 W 5TH AVE STE 400
SPOKANE, WA 992042715
Phone: (509) 344-2663
Fax: (509) 624-9179
Type: Location
601, West 5th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99204, United States
SUITE 400
SPOKANE, WA 992042715
Phone: (509) 344-2663
Fax: (509) 624-9179
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,700.
Total Amount is formed as General ($2,700) + Research ($0) + Ownership ($0) = $2,700.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Summit Surgical Corp. ($1,610).
Total Amount
$2,700
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Summit Surgical Corp. | $1,610 |
| Arthrex, Inc. | $1,070 |
| VERTEX PHARMACEUTICALS INCORPORATED | $20 |
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: 2009-12-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20091218000404 | I | Sports 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.
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 | 170 | 117 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 60 | 55 | $0 |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 33 | 32 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 31 | 30 | $0 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 26 | 25 | $0 |
Insurance plans in this area (ZIP 99204)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Physical Therapist In Private Practice | WA | |
| Orthopedic Surgery | WA | |
| Physical Therapist In Private Practice | WA | |
| Occupational Therapist In Private Practice | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Physical Therapist In Private Practice | WA | |
| Physician Assistant | WA | |
| - | MT | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.