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DOUGLAS G WYSHAM MD
NPI 1275526360
Internal Medicine - Interventional Cardiology in Vancouver, WA

Active since August 24, 2005PECOS Enrolled
700 NE 87TH AVE, VANCOUVER, WA 98664(360) 882-3662 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2016, Mar 17, 2016 (2 updates tracked since 2016).

About Douglas G Wysham Md NPPES

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

DOUGLAS G WYSHAM MD (NPI 1275526360) is an individual interventional cardiology provider in Vancouver, Washington, licensed in Washington (MD00029442) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275526360
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDOUGLAS G WYSHAMCredential: MD
Location Address700 NE 87TH AVEVancouver, WA 98664-1913
Mailing AddressPo Box 873010Vancouver, WA 98687-3010 · (360) 882-2778 · Fax (360) 604-1771
Phone(360) 882-3662
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateNovember 7, 20162 updates tracked since enumeration
✔ NPI 1275526360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in WA · MD00029442
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD00029442 (WA)
700 NE 87TH AVE, Vancouver, WA 98664
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Other Identifiers 3

Medicare PING8946076WA
Medicare UPIND81507
Medicaid8135832WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas G Wysham Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Wysham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System
99 mi
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington and Idaho enrollments
  • Also billed through NPI 1730687161 (Idaho)
  • 4,383 clinicians in this Medicare group
NPI 1831609775 (360) 534-9222
Rcch Trios Health LLC
168 mi
Internal Medicine
3730 PLAZA WAY
Kennewick, WA 99338
  • Reassigned Medicare billing, Washington enrollment
  • 159 clinicians in this Medicare group
NPI 1831682806 (509) 221-6450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
51 services46 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.
50 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
40 services40 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
22 services22 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

OREGON HEALTH & SCIENCE UNIVERSITY
Clinic/Center
700 NE 87TH AVE, SUITE 110
VANCOUVER, WA 98664
Clark County (360) 882-2778
JEFF S BRENT M.D.
Emergency Medicine (Sports Medicine)
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
LOUISE M SCHULTZ DO
Internal Medicine
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
SUSAN ARNOLD-EDGAR PA-C
Physician Assistant
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 397-1500
WENDY LATTA PT
Physical Therapist
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 397-1240
ALLISON MEADE PNP
Nurse Practitioner (Pediatrics)
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778
JOEL DAVID MCLARRY M.D.
Internal Medicine (Cardiovascular Disease)
700 NE 87TH AVE, SUITE 210
VANCOUVER, WA 98664
Clark County (360) 882-2778
KIRSTIE ANDERSON D.P.T.
Physical Therapist
700 NE 87TH AVE
VANCOUVER, WA 98664
Clark County (360) 882-2778

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 Douglas Wysham's NPI number?

The NPI number for Douglas Wysham is 1275526360. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Douglas Wysham located?

Douglas Wysham practices at 700 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (360) 882-3662.

What is Douglas Wysham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Douglas Wysham enrolled in Medicare?

Yes. Douglas Wysham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Wysham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Wysham reassigns Medicare benefits to 2 organizations: Multicare Health System (Olympia, WA) and Rcch Trios Health LLC (Kennewick, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Wysham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Wysham was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.