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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TEERAWIT SUPAKORNDEJ MD
NPI 1336599208
Dermatology in Mill Creek, WA

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
15418 MAIN ST, MILL CREEK, WA 98012(425) 339-5417 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Sep 14, 2020, Jun 21, 2016 (3 updates tracked since 2016).

About Dr. Teerawit Supakorndej Md NPPES

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

DR. TEERAWIT SUPAKORNDEJ MD (NPI 1336599208) is an individual dermatology provider in Mill Creek, Washington, licensed in Washington (MD61047461) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1336599208
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. TEERAWIT SUPAKORNDEJCredential: MD
Location Address15418 MAIN STMill Creek, WA 98012-9030
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Phone(425) 339-5417
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1336599208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · MD61047461
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2016018207 (MO)
15418 MAIN ST, Mill Creek, WA 98012
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Other Names 1

Other Name (5)Dr. Tim Supakorndej Md

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. Teerawit Supakorndej 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 ID4082983945
PECOS Enrollment IDI20201015001838
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 10

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 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.
201 services163 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
109 services89 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
101 services101 patients
Application of ultraviolet light to skin 96900
Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.
81 services11 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
79 services26 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
73 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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 20

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

DR. JUSTIN STEFFENER PSY.D.
Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
MARTHA A HOFFMAN ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8003
JENNIFER MARIE GROSS PSYD
Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
JESSICA E BRANDT ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8004
GRACE HAMILTON
Psychologist
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
DR. BRIANNA JOAN BAUBLITZ DNP, ARNP
Nurse Practitioner (Family)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8000
JOHN M. ZIMBUREAN, M.D., PLLC
Psychiatry & Neurology (Psychiatry)
15418 MAIN ST, SUITE 301
MILL CREEK, WA 98012
Snohomish County (425) 385-2960
KATHRYN H JENSEN ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8004

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 Teerawit Supakorndej's NPI number?

The NPI number for Teerawit Supakorndej is 1336599208. It was assigned to this individual provider in the NPPES registry on June 21, 2016. The provider is also known as Dr. Tim Supakorndej MD.

Where is Teerawit Supakorndej located?

Teerawit Supakorndej practices at 15418 Main St, Mill Creek, WA 98012. The listed phone number is (425) 339-5417.

What is Teerawit Supakorndej's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Teerawit Supakorndej enrolled in Medicare?

Yes. Teerawit Supakorndej is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teerawit Supakorndej accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Teerawit Supakorndej 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 Teerawit Supakorndej was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.