DR. THOMAS L POULTON (M.D.) – Urology Physician, NPI 1902997836
Urology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THOMAS L POULTON (M.D.)
314 Martin Luther King Jr Way
Suite 208
Tacoma, WA 984054250
Phone: (253) 503-1273
Fax: (253) 507-8854
Type: Location
94220 4th St
Gold Beach, OR 974447756
Phone: (541) 247-3910
Type: Location
Curry General Hospital, 94220, 4th Street, Gold Beach, Curry County, Oregon, 97444, United States
GOLD BEACH, OR 974447756
Phone: (541) 247-3910
Fax: (541) 247-3109
Type: Mailing
500, 5th Street, Brookings, Brookings County, South Dakota, 57006, United States
BROOKINGS, OR 974159702
Phone: (541) 412-2000
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: 2017-06-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170608001540 | I | Urology | ME | 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 98405)
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