SHAWN ERIK TEDFORD PA-C
NPI 1063449072
Physician Assistant in Bremerton, WA

Q: What is Shawn Tedford's NPI number?

The NPI number for Shawn Tedford is 1063449072. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Shawn Tedford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Tedford was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment

1225 CAMPBELL WAY STE 201, BREMERTON, WA 98310(360) 377-1355 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jan 18, 2021 (2 updates tracked since 2021).

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About Shawn Erik Tedford Pa-c NPPES

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

SHAWN ERIK TEDFORD PA-C (NPI 1063449072) is an individual physician assistant in Bremerton, Washington, licensed in Washington (PA10003756) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1063449072

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHAWN ERIK TEDFORDCredential: PA-C

Location Address1225 CAMPBELL WAY STE 201Bremerton, WA 98310-3323

Mailing Address1225 Campbell Way Ste 201Bremerton, WA 98310-3323 · (360) 377-1355

Phone(360) 377-1355

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 26, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2021

✔ NPI 1063449072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WA · PA10003756✔ Licensed in NM · PA2007-0004

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2007-0004 (NM)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2007-0004 (NM)

1225 CAMPBELL WAY STE 201, Bremerton, WA 98310

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Other Identifiers 5

Other205198WA · Labor & Industries

Medicaid1001498WA

Other8918TERegence Blueshield

Other8942304WA · Crime Victims Comp

OtherP00330803Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Shawn Erik Tedford Pa-c 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 ID941235444

PECOS Enrollment IDI20051004000477

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services160 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98310 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

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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