TED A. BRANSTETTER (PA-C) – Surgical Physician Assistant, NPI 1588663835
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for TED A. BRANSTETTER (PA-C)
1201 S Miller St
Wenatchee, WA 988013201
Phone: (509) 663-8711
Type: Location
PO BOX 3649
SPOKANE, WA 992203649
Phone:
Type: Mailing
910, West 5th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99204, United States
STE 1000
SPOKANE, WA 992042966
Phone: (509) 838-2531
Fax: (509) 755-6580
Type: Location
820 N CHELAN AVE
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
1200 N BEAVER ST
FLAGSTAFF, AZ 860013118
Phone: (928) 773-2332
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: 2025-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050922000031 | I | Physician Assistant | WA | TBD |
| I20200214001335 | I | Physician Assistant | NM | TBD |
| I20250930001528 | I | Physician Assistant | AZ | 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 98801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Emergency Medicine | NM | |
| - | NM | |
| - | NM | |
| H E M A T O L O G Y/ O N C O L O G Y | NM |
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