KATRINA ALYS TERRY (MD) – Family Medicine Physician, NPI 1912950718
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for KATRINA ALYS TERRY (MD)
PO BOX 5127
EVERETT, WA 982065127
Phone: (206) 860-5414
Fax: (206) 720-8462
Type: Mailing
3927 RUCKER AVE
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (425) 336-5444
Type: Location
375, Northwest Beaver Street, Prineville, Crook County, Oregon, 97754, United States
SUITE 101
PRINEVILLE, OR 977541802
Phone: (541) 447-0707
Fax: (541) 447-0708
Type: Mailing
2084, Northeast Professional Court, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016077
Phone: (541) 383-3005
Type: Location
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: 2025-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140305001465 | I | Family Practice | OR | TBD |
| I20250624003062 | I | Family Practice | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 81002 | Urinalysis, manual test | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
Reviews
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