KATHERINE R TUTTLE (MD) – Nephrology Physician, NPI 1740399492

KATHERINE R TUTTLE (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD00028218 (WA). The NPI Number for KATHERINE R TUTTLE (MD) is 1740399492

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE R TUTTLE (MD)
NPI
1740399492
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
29 August 2006
Last Update Date
23 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094745437
Graduation Year
2007 (19 years ago)
PAC ID
6204840903
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20060202000109
Address ID
WA992042327SP105XXAVEX402

Contacts

Secure Messaging
ktuttle218239@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

279 NEPHROLOGY in WA

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Provider Addresses for KATHERINE R TUTTLE (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    STE 7060

    SPOKANE, WA 992042302

    Phone: (509) 340-0930

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 114 Open Payments records for all available years, with a total value of $177,319.

Total Amount is formed as General ($140,078) + Research ($37,241) + Ownership ($0) = $177,319.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk AS ($116,600).

Total Amount

$177,319

General + Research + Ownership

Payments

114

Total payment records

General Amount

$140,078

General payments

Research Amount

$37,241

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2006-02-02

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
I20060202000109INephrologyWATBD

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 minutes5723$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What is the registry number for KATHERINE R TUTTLE (MD)?
The registry entry for KATHERINE R TUTTLE (MD) shows NPI 1740399492.
Does the public listing show KATHERINE R TUTTLE (MD) as active?
KATHERINE R TUTTLE (MD)'s NPI record reflects an active status in NPPES.
What does the directory say KATHERINE R TUTTLE (MD) does?
Insurance directories may phrase it differently, but here KATHERINE R TUTTLE (MD) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KATHERINE R TUTTLE (MD) in Liberty Lake, Washington?
For routing, start with Liberty Lake, Washington for KATHERINE R TUTTLE (MD), then verify phone and hours locally.
Can I export KATHERINE R TUTTLE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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