DR. MICHAEL LEE ETTNER MD
NPI 1629061940
Emergency Medicine in Dayton, WA
About Dr. Michael Lee Ettner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL LEE ETTNER MD (NPI 1629061940) is an individual emergency medicine provider in Dayton, Washington, licensed in Washington (MD61241262) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and maintains a secondary practice location in Dayton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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. Michael Lee Ettner 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.
Medicare Billing Reassignments
6Medicare enrollment records show Michael Ettner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, WA 99328
- Reassigned Medicare billing, Washington enrollment
- 141 clinicians in this Medicare group
Moscow, ID 83843
- Reassigned Medicare billing, Idaho enrollment
- 75 clinicians in this Medicare group
Kennewick, WA 99338
- Reassigned Medicare billing, Washington enrollment
- 60 clinicians in this Medicare group
St Maries, ID 83861
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1548320435 (Idaho)
- 60 clinicians in this Medicare group
Sedro Woolley, WA 98284
- Reassigned Medicare billing, Washington enrollment
- 139 clinicians in this Medicare group
Edna Bay, AK 99901
- Reassigned Medicare billing, Texas enrollment
- 640 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trios Health
Acute Care Hospitals · Kennewick, WADayton General Hospital
Critical Access Hospitals · Dayton, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Michael Ettner's NPI number?
The NPI number for Michael Ettner is 1629061940. It was assigned to this individual provider in the NPPES registry on August 23, 2005.
Where is Michael Ettner located?
Michael Ettner practices at 1012 S 3rd St, Dayton, WA 99328. The listed phone number is (509) 382-8347.
What is Michael Ettner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Ettner enrolled in Medicare?
Yes. Michael Ettner 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.
Which organizations bill Medicare for Michael Ettner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ettner reassigns Medicare benefits to 6 organizations: Columbia County Hospital District (Dayton, WA), Gritman Medical Center Inc (Moscow, ID), Washington Emergency Physician Partners PLLC (Kennewick, WA), Benewah Community Hospital (St Maries, ID), Sound Physicians Emergency Medicine Of Washington PLLC (Sedro Woolley, WA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Ettner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Ettner affiliated with any hospitals?
According to CMS data, Michael Ettner is affiliated with Trios Health and Dayton General Hospital.
When was this NPI record last updated?
The NPPES record for Michael Ettner was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Dr. Michael Lee Ettner, MD · NPI 1629061940
Emergency Medicine physician in Dayton, Washington. Individual provider, active in the CMS NPPES registry since August 23, 2005.
## Identity
- **NPI:** 1629061940 (Entity type: Individual)
- **Enumerated:** August 23, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD61241262 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1012 S 3RD ST, Dayton, WA 99328-1696
- **Phone:** (509) 382-8347 · **Fax:** (509) 382-3205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Columbia County Hospital District (NPI 1134128911, Dayton, WA); Gritman Medical Center Inc (NPI 1619988144, Moscow, ID); Washington Emergency Physician Partners PLLC (NPI 1346586351, Kennewick, WA); Benewah Community Hospital (NPI 1386632180, St Maries, ID); Sound Physicians Emergency Medicine Of Washington PLLC (NPI 1629532064, Sedro Woolley, WA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** March 2, 2026
- **Other identifiers:** Medicaid 1014907 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629061940) · Data from the CMS NPPES public registry.