ROSS BROCKMAN D.O.
NPI 1568842185
Dermatology - Pediatric Dermatology in Puyallup, WA

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371(253) 848-3000 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ross Brockman D.o. NPPES

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

ROSS BROCKMAN D.O. (NPI 1568842185) is an individual pediatric dermatology provider in Puyallup, Washington, licensed in Washington (OP61156882) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568842185
Entity TypeIndividualMale
Primary Taxonomy207NP0225X
Provider Legal NameROSS BROCKMANCredential: D.O.
Location Address1703 S MERIDIAN STE 101Puyallup, WA 98371-7590
Mailing Address1200 Pleasant StDes Moines, IA 50309-1406 · (515) 241-5008
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 9, 2015
Last NPPES UpdateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1568842185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License Licensed in WA · OP61156882
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedPediatricsTaxonomy 208000000X · License R-10324 (IA)
1703 S MERIDIAN STE 101, Puyallup, WA 98371

Accepted 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

Ross Brockman D.o. 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 ID5496029092
PECOS Enrollment IDI20210901001495
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 98371 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.

Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Practitioner (Family)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Anesthetist, Certified Registered
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Pathology (Anatomic Pathology & Clinical Pathology)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371

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 Ross Brockman's NPI number?

The NPI number for Ross Brockman is 1568842185. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Ross Brockman located?

Ross Brockman practices at 1703 S Meridian Ste 101, Puyallup, WA 98371. The listed phone number is (253) 848-3000.

What is Ross Brockman's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Ross Brockman enrolled in Medicare?

Yes. Ross Brockman 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 Ross Brockman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ross Brockman 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 Ross Brockman was last updated on December 1, 2022. 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.