TERRILL R UTT (MD) – Family Medicine Physician, NPI 1689689242

TERRILL R UTT (MD) is a healthcare provider. based in Puyallup, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00023440 (WA). The NPI Number for TERRILL R UTT (MD) is 1689689242

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
TERRILL R UTT (MD)
NPI
1689689242
Phone
(253) 536-1020
Address
11025 CANYON RD E
Enumeration Date
30 July 2006
Last Update Date
10 November 2010

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5098651705
Graduation Year
1980 (46 years ago)
PAC ID
4082645676
Group Practice PAC ID
0749206985
Professional Enrollment ID
I20240730003395
Address ID
WA989489792TO401XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for TERRILL R UTT (MD)

  • 11025 CANYON RD E

    STE C

    PUYALLUP, WA 983734264

    Phone: (253) 536-1020

    Fax: (253) 536-1612

    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)

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: 2024-07-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240730003395IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98373)

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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: 0749206985View full group profile
NameSpecialtyState
Nurse PractitionerWA
Optometry, Family PracticeWA
O P T O M E T R YAZ
-WA
Family PracticeWA
-WA
Physician AssistantWA
Family PracticeWA
Nurse PractitionerWI
Internal MedicineWA

Reviews

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Frequently asked questions

What is the registry number for TERRILL R UTT (MD)?
The registry entry for TERRILL R UTT (MD) shows NPI 1689689242.
Does the public listing show TERRILL R UTT (MD) as active?
TERRILL R UTT (MD)'s NPI record reflects an active status in NPPES.
What services align with TERRILL R UTT (MD)'s listing?
TERRILL R UTT (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TERRILL R UTT (MD) in Puyallup, Washington?
For routing, start with Puyallup, Washington for TERRILL R UTT (MD), then verify phone and hours locally.
Why is information missing for TERRILL R UTT (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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