DOUGLAS BRENT RUTAN (DPM) – Podiatrist, NPI 1821081613

DOUGLAS BRENT RUTAN (DPM) is a healthcare provider. based in Vancouver, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P0515 (WA). The NPI Number for DOUGLAS BRENT RUTAN (DPM) is 1821081613

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS BRENT RUTAN (DPM)
NPI
1821081613
Phone
(360) 695-1334
Address
100 E 33RD ST STE 206
Enumeration Date
26 August 2005
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3604506644
Graduation Year
1991 (35 years ago)
PAC ID
7416033287
Group Practice PAC ID
2466870118
Professional Enrollment ID
I20080320000098
Address ID
WA986863252VA2205XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

360 PODIATRY in WA

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Provider Addresses for DOUGLAS BRENT RUTAN (DPM)

  • 206, East 33rd Street, Vancouver, Clark County, Washington, 98663, United States

    VANCOUVER, WA 986632776

    Phone: (360) 695-1334

    Fax: (360) 992-1159

    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 11 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Organogenesis Inc. ($69).

Total Amount

$222

General + Research + Ownership

Payments

11

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2008-03-20

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
I20080320000098IPodiatryWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes17088$0
11720Removal of fingernails or toenails, 1-5 nails13760$0
11719Trimming of fingernails or toenails10148$0
11721Removal of fingernails or toenails, 6 or more nails8438$0
11056Removal of noncancer thickened skin growth, 2-4 growths7529$0
View full utilization report →

Insurance plans in this area (ZIP 98663)

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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: 2466870118View full group profile
NameSpecialtyState
P O D I A T R YWA
P O D I A T R YOH

Reviews

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Frequently asked questions

Does DOUGLAS BRENT RUTAN (DPM) have a public NPI I can cite?
Public records show DOUGLAS BRENT RUTAN (DPM) under NPI 1821081613.
Does the public listing show DOUGLAS BRENT RUTAN (DPM) as active?
DOUGLAS BRENT RUTAN (DPM)'s NPI record reflects an active status in NPPES.
Which specialty label fits DOUGLAS BRENT RUTAN (DPM)?
NPPES ties DOUGLAS BRENT RUTAN (DPM) to Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DOUGLAS BRENT RUTAN (DPM)?
DOUGLAS BRENT RUTAN (DPM) shows a connection to Vancouver, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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