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MARY ANN WOODRUFF MD
NPI 1508952680
Pediatrics in Tacoma, WA

Active since October 05, 2006PECOS Enrolled
1628 SOUTH MILDRED, #101, TACOMA, WA 98465(253) 564-8005(253) 627-0855 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Ann Woodruff Md NPPES

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

MARY ANN WOODRUFF MD (NPI 1508952680) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (MD00026502) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508952680
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY ANN WOODRUFFCredential: MD
Location Address1628 SOUTH MILDRED, #101Tacoma, WA 98465
Mailing Address316 Martin Luther King Jr Way, # 212Tacoma, WA 98405 · (253) 383-5777 · Fax (253) 627-0855
Phone(253) 564-8005
Fax(253) 627-0855
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1508952680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00026502
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1628 SOUTH MILDRED, Tacoma, WA 98465
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Other Identifiers 3

Medicare UPINH10760
Medicaid11300152WA
Medicare ID-Type UnspecifiedAB15785

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 (PECOS)

Mary Ann Woodruff 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98465 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
$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 3

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

CYNTHIA TAMMAR KERTESZ FIERSTEIN MD
Pediatrics
1628 SOUTH MILDRED, #101
TACOMA, WA 98465
Pierce County (253) 564-8005
GARY TART MD
Pediatrics
1628 SOUTH MILDRED, #101
TACOMA, WA 98465
Pierce County (253) 383-5777
BRENDA LYNNE WILDER SANDERS MD PHD
Pediatrics
1628 SOUTH MILDRED, #101
TACOMA, WA 98465
Pierce County (253) 564-8005

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 Mary Ann Woodruff's NPI number?

The NPI number for Mary Ann Woodruff is 1508952680. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Mary Ann Woodruff located?

Mary Ann Woodruff practices at 1628 South Mildred #101, Tacoma, WA 98465. The listed phone number is (253) 564-8005.

What is Mary Ann Woodruff's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Ann Woodruff enrolled in Medicare?

Yes. Mary Ann Woodruff is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann Woodruff accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Ann Woodruff 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 Mary Ann Woodruff was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.