DR. KIRBY J LAUTMAN (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1689620270
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KIRBY J LAUTMAN (MD)
34612, 6th Avenue South, Federal Way, King County, Washington, 98003, United States
SUITE 200
FEDERAL WAY, WA 980038723
Phone: (253) 661-2594
Fax: (253) 661-2694
Mailing address matches the actual address.
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 $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-05-14 • Largest payer in this snapshot: Phadia US Inc. ($25).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phadia US Inc. | $25 |
| AERIN MEDICAL INC. | $15 |
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: 2004-12-04
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 |
|---|---|---|---|---|
| I20041204000102 | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,302 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 272 | 144 | $0 |
| 70486 | Ct scan of face without contrast | 98 | 91 | $0 |
| 92567 | Test to assess middle ear function | 88 | 72 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 79 | 54 | $0 |
Insurance plans in this area (ZIP 98003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | WA | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 566 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| U R O L O G Y | WA | |
| U R O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| - | WA | |
| U R O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA |
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