DR. JOHN BRUCE WILLIAMS (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1619933934

DR. JOHN BRUCE WILLIAMS (MD) is a healthcare provider. based in Edmonds, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD 26409 (WA). The NPI Number for DR. JOHN BRUCE WILLIAMS (MD) is 1619933934

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BRUCE WILLIAMS (MD)
NPI
1619933934
Phone
(425) 778-2499
Address
21616 76th Ave W
Enumeration Date
25 April 2006
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Secondary Phone
5034726161
Graduation Year
1977 (49 years ago)
PAC ID
3476681107
Group Practice PAC ID
6305832890
Professional Enrollment ID
I20180807001565
Address ID
OR971288805MC2435XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

Provider Addresses for DR. JOHN BRUCE WILLIAMS (MD)

  • 21616 76th Ave W

    #208

    Edmonds, WA 980267512

    Phone: (425) 778-2499

    Fax: (425) 776-0197

    Type: Location

  • Northeast Cumulus Avenue, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 971288805

    Phone: (503) 472-6161

    Fax: (503) 434-6290

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: PFIZER INC. ($57).

Total Amount

$108

General + Research + Ownership

Payments

6

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180807001565IInternal MedicineORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes327196$0
99213Established patient office or other outpatient visit, 20-29 minutes172119$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit137137$0
G0008Administration of influenza virus vaccine7471$0
90662Influenza vaccine split virus, preservative free7270$0
View full utilization report →

Insurance plans in this area (ZIP 98026)

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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: 6305832890View full group profile
NameSpecialtyState
Physician AssistantOR
Pediatric MedicineOR
Pediatric MedicineOR
Clinical PsychologistOR
Physician AssistantOR
Physician AssistantOR
-OR
-OR
Internal MedicineOR
-OR

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN BRUCE WILLIAMS (MD) in the U.S.?
In the U.S., DR. JOHN BRUCE WILLIAMS (MD) is identified by NPI 1619933934.
Is DR. JOHN BRUCE WILLIAMS (MD)'s NPI status active today?
Active status means DR. JOHN BRUCE WILLIAMS (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. JOHN BRUCE WILLIAMS (MD) does?
Insurance directories may phrase it differently, but here DR. JOHN BRUCE WILLIAMS (MD) maps to Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN BRUCE WILLIAMS (MD)?
DR. JOHN BRUCE WILLIAMS (MD) is associated with Edmonds, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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