DR. JEREMY HENRY CONKLIN (DO) – Surgical Critical Care Physician, NPI 1700830882
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 GENERAL SURGERY in WA
Provider Addresses for DR. JEREMY HENRY CONKLIN (DO)
747 Broadway
Seattle, WA 981224379
Phone: (206) 215-2520
Fax: (206) 215-6364
Type: Location
1010 Three Springs Blvd
Durango, CO 813018296
Phone: (970) 764-2750
Fax: (970) 764-2778
Type: Location
999 N CURTIS RD STE 415
BOISE, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
Type: Location
Swedish First Hill Medical Center, 747, Broadway, First Hill, Seattle, King County, Washington, 98122, United States
SEATTLE, WA 981224307
Phone: (206) 215-2520
Fax: (206) 215-6364
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $26 |
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: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20130819000668 | I | General Surgery | NY | TBD |
| I20150804004023 | I | General Surgery | PA | TBD |
| I20171226000716 | I | General Surgery | TX | TBD |
| I20190328002037 | I | General Surgery | WA | TBD |
| I20210215001520 | I | Thoracic Surgery | NV | TBD |
| I20240405001523 | I | Thoracic Surgery | ID | TBD |
| I20260226001845 | I | General Surgery | CA | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | NV | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Physical Medicine And Rehabilitation | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | GA | |
| Colorectal Surgery (Proctology) | NV |
Reviews
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