DR. ATHENA TUDINO MD
NPI 1285294454
Obstetrics & Gynecology in Olympia, WA

Q: What is Athena Tudino's NPI number?

The NPI number for Athena Tudino is 1285294454. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Athena Tudino's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Athena Tudino was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment

615 LILLY RD NE STE 200, OLYMPIA, WA 98506(360) 413-8413(360) 413-7143 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Jun 19, 2019 (2 updates tracked since 2019).

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About Dr. Athena Tudino Md NPPES

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

DR. ATHENA TUDINO MD (NPI 1285294454) is an individual obstetrics & gynecology provider in Olympia, Washington, licensed in Washington (MD61422174) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285294454

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. ATHENA TUDINOCredential: MD

Location Address615 LILLY RD NE STE 200Olympia, WA 98506-5137

Mailing AddressPo Box 3360Portland, OR 97208-3360

Phone(360) 413-8413

Fax(360) 413-7143

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 19, 2019

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1285294454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · MD61422174

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

615 LILLY RD NE STE 200, Olympia, WA 98506

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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

Dr. Athena Tudino Md 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 ID8820445703

PECOS Enrollment IDI20231115000058

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$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.

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Other Providers at the Same Location NPPES 18

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

AMANDA NICOLE CLAUSON CNM, ARNP

Advanced Practice Midwife