DR. KELSEY LOUAINE CHEREPUSCHAK M.D.
NPI 1043690910
Family Medicine in Pullman, WA

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
805 SE CLEARWATER DR, PULLMAN, WA 99163(208) 892-1346 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelsey Louaine Cherepuschak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELSEY LOUAINE CHEREPUSCHAK M.D. (NPI 1043690910) is an individual family medicine provider in Pullman, Washington, licensed in Washington (MD61686351) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1043690910
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELSEY LOUAINE CHEREPUSCHAKCredential: M.D.
Location Address805 SE CLEARWATER DRPullman, WA 99163-7007
Mailing Address805 Se Clearwater DrPullman, WA 99163-7007 · (208) 892-1346
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1043690910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD61686351 Licensed in ID · 9871652 Licensed in CA · A147541
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 9871652 (ID), MD61686351 (WA)
805 SE CLEARWATER DR, Pullman, WA 99163

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelsey Louaine Cherepuschak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193145068
PECOS Enrollment IDI20201014001863, I20250819002391
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$10.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$45.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043690910, enumerated as an "individual" on June 04, 2015.

The provider is located at 805 SE CLEARWATER DR PULLMAN, WA 99163 and the phone number is (208) 892-1346.

Family Medicine with taxonomy code 207Q00000X.