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DR. WALTER FOMBIN FOTO BDS DMD
NPI 1215038716
Dentist - Oral and Maxillofacial Surgery in Puyallup, WA

Active since September 26, 2006PECOS Enrolled
4202 10TH ST SE # 101, PUYALLUP, WA 98374(253) 272-7574(253) 272-9044 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Dr. Walter Fombin Foto Bds Dmd NPPES

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

DR. WALTER FOMBIN FOTO BDS DMD (NPI 1215038716) is an individual oral and maxillofacial surgery provider in Puyallup, Washington, licensed in Washington (8264) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1215038716
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WALTER FOMBIN FOTOCredential: BDS DMD
Location Address4202 10TH ST SE # 101Puyallup, WA 98374-2191
Mailing Address4202 10th St Se Ste 311Puyallup, WA 98374-2191 · (253) 272-7574 · Fax (253) 272-9044
Phone(253) 272-7574
Fax(253) 272-9044
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1215038716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · 8264
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4202 10TH ST SE # 101, Puyallup, WA 98374
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Secondary Practice Location 1

Location 1814 6th AveTacoma, WA 98405-4501 · Phone (253) 272-7574 · Fax (253) 272-9044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter Fombin Foto Bds Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98374 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Foto's NPI number?

The NPI number for Walter Foto is 1215038716. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Walter Foto located?

Walter Foto practices at 4202 10th St SE # 101, Puyallup, WA 98374. The listed phone number is (253) 272-7574.

What is Walter Foto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Walter Foto enrolled in Medicare?

Yes. Walter Foto is registered in the Medicare PECOS enrollment system.

What insurance does Walter Foto accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and HRI Dental & Vision and 3 other insurers list Walter Foto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Foto was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.