BRADLEY K FANKHAUSER (MD) – Family Medicine Physician, NPI 1922269489
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
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Provider Addresses for BRADLEY K FANKHAUSER (MD)
7600 EVERGREEN WAY
EVERETT, WA 982036421
Phone: (206) 860-5414
Type: Mailing
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 258-3900
Type: Mailing
4410, 106th Street Southwest, Mukilteo, Snohomish County, Washington, 98275, United States
MUKILTEO, WA 982754700
Phone: (425) 493-6001
Fax: (425) 493-6030
Type: Location
NPPES updates history
- Provider•UpdatedMay 27, 2026
Fields: Last update date, Certification date
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: 2011-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111213000810 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 401 | 202 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 158 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 165 | 158 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 165 | 143 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 161 | 127 | $0 |
Insurance plans in this area (ZIP 98203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | 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 | |
| Family Practice | WA | |
| P O D I A T R Y | WA | |
| Family Practice | WA | |
| P O D I A T R Y | WA |
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