ADAM R KNUTSON (DO) – Internal Medicine Physician, NPI 1912352402

ADAM R KNUTSON (DO) is a healthcare provider. based in Yakima, Washington. specializing in INTERNAL MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO198054 (OR). The NPI Number for ADAM R KNUTSON (DO) is 1912352402

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ADAM R KNUTSON (DO)
NPI
1912352402
Phone
(503) 428-1611
Address
501 N 40TH ST
Enumeration Date
3 May 2016
Deactivation Date
7 April 2018
Reactivation Date
18 May 2018
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Secondary Phone
5417572400108
Graduation Year
2018 (8 years ago)
PAC ID
7810246212
Group Practice PAC ID
8820989700
Professional Enrollment ID
I20210708000384
Address ID
OR973303900CO2400XBLVD400

Contacts

Secure Messaging
aknutson153710@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

Provider Addresses for ADAM R KNUTSON (DO)

  • 501 N 40TH ST

    YAKIMA, WA 989011228

    Phone: (503) 428-1611

    Type: Mailing

  • 400 HICKORY ST NW STE 300

    ALBANY, OR 973211700

    Phone: (541) 812-5700

    Fax: (541) 812-5650

    Type: Location

  • PO BOX 1188

    CORVALLIS, OR 973391188

    Phone:

    Type: Mailing

  • 2400 NW KINGS BLVD

    CORVALLIS, OR 973303900

    Phone: (541) 757-2400

    Fax: (417) 520-9315

    Type: Location

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Novo Nordisk Inc ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$13
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: 2021-07-08

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
I20210708000384IFamily PracticeORTBD

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 minutes326147$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6262$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit3737$0
99215Established patient office or other outpatient visit, 40-54 minutes3429$0
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 98901)

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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: 8820989700View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
Osteopathic Manipulative Medicine, Family PracticeCA
Physician AssistantID
Clinical Social WorkerOR
Nurse PractitionerOR
Family PracticeOR
Physician AssistantOR
Mental Health CounselorOR
Family PracticeOR
Family PracticeOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for ADAM R KNUTSON (DO)?
ADAM R KNUTSON (DO) — NPI 1912352402 — is the standard way to identify this listing.
Is ADAM R KNUTSON (DO) listed as active for patients and plans?
The listing shows ADAM R KNUTSON (DO) as active in the NPI system.
What is ADAM R KNUTSON (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for ADAM R KNUTSON (DO) here. Clinical services aligned with this taxonomy classification.
What area does ADAM R KNUTSON (DO) serve?
ADAM R KNUTSON (DO)'s listing highlights Yakima, Washington; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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