LARRY KENNETH O'BRYANT (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1578614749
Anatomic Pathology & Clinical Pathology Physician
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NPPES metrics only — not quality of care.
369 PATHOLOGY in WA
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Provider Addresses for LARRY KENNETH O'BRYANT (MD)
2910, 16th Street Southeast, Manorwood North II, Puyallup, Pierce County, Washington, 98374, United States
PUYALLUP, WA 983741379
Phone:
Type: Mailing
407, 14th Avenue Southeast, Puyallup, Pierce County, Washington, 98372, United States
PUYALLUP, WA 983723770
Phone: (253) 697-5647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2010-08-20
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 |
|---|---|---|---|---|
| I20100820000281 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 912 | 568 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 409 | 99 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 253 | 209 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 178 | 141 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 135 | 79 | $0 |
Insurance plans in this area (ZIP 98374)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | WA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 88 | 84 |
| PATHOLOGY | WA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 105 | 77 |
| PATHOLOGY | WA | 88342 | Tissue or cell analysis by immunologic technique | 168 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | WA | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WA |
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