DR. DOUGLAS MELVILLE SORENSEN (M.D.) – Otolaryngology Physician, NPI 1669448346
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
321 OTOLARYNGOLOGY in WA
Provider Addresses for DR. DOUGLAS MELVILLE SORENSEN (M.D.)
9003 166TH ST. CT. E.
PUYALLUP, WA 98375
Phone: (253) 968-0472
Fax: (253) 968-3154
Type: Mailing
9003 166TH STREET CT E
PUYALLUP, WA 983752029
Phone: (253) 968-0472
Fax: (253) 968-3154
Type: Location
1608 S J ST FL 5
TACOMA, WA 984054930
Phone: (253) 426-6731
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $321.
Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.
Last reported payment date: 2024-06-22 • Largest payer in this snapshot: AERIN MEDICAL INC. ($321).
Total Amount
$321
General + Research + Ownership
Payments
2
Total payment records
General Amount
$321
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $321 |
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: 2009-10-15
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 |
|---|---|---|---|---|
| I20091015000552 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 126 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 76 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 98375)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| - | WI | |
| - | WA |
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