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DR. EFREN REBUSIT CARATAO JR. M.D.
NPI 1366502601
General Practice in Kent, WA

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
10413 SE 244TH ST, KENT, WA 98030(253) 852-2770(253) 852-6770 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Efren Rebusit Caratao Jr. M.d. NPPES

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

DR. EFREN REBUSIT CARATAO JR. M.D. (NPI 1366502601) is an individual general practice provider in Kent, Washington, licensed in Washington (MD00028063) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1366502601
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EFREN REBUSIT CARATAO JR.Credential: M.D.
Location Address10413 SE 244TH STKent, WA 98030-4961
Mailing Address10413 Se 244th StKent, WA 98030-4961 · (253) 852-2770 · Fax (253) 852-6770
Phone(253) 852-2770
Fax(253) 852-6770
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateDecember 9, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1366502601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00028063
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10413 SE 244TH ST, Kent, WA 98030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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. Efren Rebusit Caratao Jr. M.d. 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 ID8426039264
PECOS Enrollment IDI20040527000001
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 4

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.
60 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims28 services$5.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MAKRISTY CARATAO M.D.
Family Medicine
10413 SE 244TH ST
KENT, WA 98030
King County (253) 852-2770
EASTHILL MEDICAL CLINIC LLC
Clinic/Center (Primary Care)
10413 SE 244TH ST
KENT, WA 98030
King County (253) 852-2770
EAST HILL MEDICAL CLINIC
General Practice
10413 SE 244TH ST
KENT, WA 98030
King County (253) 852-2770

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 Efren Caratao's NPI number?

The NPI number for Efren Caratao is 1366502601. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is Efren Caratao located?

Efren Caratao practices at 10413 SE 244th St, Kent, WA 98030. The listed phone number is (253) 852-2770.

What is Efren Caratao's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Efren Caratao enrolled in Medicare?

Yes. Efren Caratao 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 Efren Caratao accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Efren Caratao 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 Efren Caratao 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.