DR. LAUREN KATHLEEN FETTY MD
NPI 1407268857
Radiology - Diagnostic Radiology in Port Angeles, WA

Q: What is Lauren Fetty's NPI number?

The NPI number for Lauren Fetty is 1407268857. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Q: What is Lauren Fetty's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Fetty was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

939 CAROLINE ST, PORT ANGELES, WA 98362(360) 565-9003(360) 565-9001 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2020, Jul 22, 2020, Jul 29, 2019 (3 updates tracked since 2019).

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About Dr. Lauren Kathleen Fetty Md NPPES

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

DR. LAUREN KATHLEEN FETTY MD (NPI 1407268857) is an individual diagnostic radiology provider in Port Angeles, Washington, licensed in Washington (MD61038016) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Rush Medical College Of Rush University (2014).

NPPES Registry Identity

NPI1407268857

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. LAUREN KATHLEEN FETTYCredential: MD

Location Address939 CAROLINE STPort Angeles, WA 98362-3909

Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1374

Phone(360) 565-9003

Fax(360) 565-9001

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2014

Enumeration DateMay 20, 2014

Last NPPES UpdateDecember 10, 20203 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1407268857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in WA · MD61038016✔ Licensed in WI · 71514-20

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

939 CAROLINE ST, Port Angeles, WA 98362

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Other Identifiers 8

Other0426796WA · L&i-radia Rest Of Wa

Medicaid2160014WA

Other0426798WA · L&i-radia King Cty

Other0426800WA · L&i-evergreen Radia

Other0426804WA · L&i-south Sound Radiology

Other0426805WA · L&i-seatte Radiology

Other0426797WA · L&i-swedish Radia Edmonds

Other0427056WA · L&i-vancouver Radiology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lauren Kathleen Fetty 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 ID2961628862

PECOS Enrollment IDI20200709002438

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

Medicare enrollment records show Lauren Fetty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Radia Imaging Center At Edmonds LLC

55 mi

Diagnostic Radiology

21700 HIGHWAY 99
Edmonds, WA 98026

Reassigned Medicare billing, Washington enrollment
200 clinicians in this Medicare group

NPI 1164494373 (425) 640-4949

Radia Inc P S

56 mi

Diagnostic Radiology

19020 33RD AVE W, SUITE 210
Lynnwood, WA 98036

Reassigned Medicare billing, Washington enrollment
209 clinicians in this Medicare group

NPI 1700045572 (425) 563-1500

Radia Imaging Center Holdings LLC

62 mi

Diagnostic Radiology

1229 MADISON ST STE 900
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
204 clinicians in this Medicare group

NPI 1639653017 (206) 292-6233

Evergreen Radia LLC

63 mi

Diagnostic Radiology

11521 NE 128TH ST, SUITE 200
Kirkland, WA 98034

Reassigned Medicare billing, Washington enrollment
196 clinicians in this Medicare group

NPI 1922095694 (425) 952-6100

South Sound Radiologists Inc P S

78 mi

Diagnostic Radiology

3417 ENSIGN RD NE
Olympia, WA 98506

Reassigned Medicare billing, Washington enrollment
186 clinicians in this Medicare group

NPI 1902990500 (360) 493-4600

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 14

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.

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

4,180 services29 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,402 services1,402 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,399 services1,399 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

277 services267 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

158 services158 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

152 services146 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

149 services146 patients

Screening 3d breast mammography 77063

122 services122 patients

Screening mammography 77067

122 services122 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

32 services32 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

27 services27 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

18 services18 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

15 services15 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Arbor Health Morton Hospital

Critical Access Hospitals · Morton, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501319

Location521 Adams StreetMorton, WA 98356 · Lewis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

MEGAN ROOT RN

Registered Nurse