BRANDON FETTEROLF D.O.
NPI 1679815195
Emergency Medicine in Tacoma, WA

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
MADIGAN ARMY MEDICAL CENTER, 9040 FITZSIMMONS DR, TACOMA, WA 98431(989) 859-3260 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Fetterolf D.o. NPPES

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

BRANDON FETTEROLF D.O. (NPI 1679815195) is an individual emergency medicine provider in Tacoma, Washington, licensed in North Carolina (2017-01929) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1679815195
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRANDON FETTEROLFCredential: D.O.
Location AddressMADIGAN ARMY MEDICAL CENTER, 9040 FITZSIMMONS DRTacoma, WA 98431
Mailing AddressMadigan Army Medical Center, 9040 Fitzsimmons DrTacoma, WA 98431 · (989) 859-3260
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateMarch 7, 2018
NPI 1679815195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NC · 2017-01929
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MADIGAN ARMY MEDICAL CENTER, Tacoma, WA 98431

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

Brandon Fetterolf 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 ID2769798966
PECOS Enrollment IDI20180416000552
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
103 services96 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
103 services103 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services74 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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 20

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

Nurse Anesthetist, Certified Registered
MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pharmacist (Pharmacotherapy)
MADIGAN ARMY MEDICAL CENTER, PHARMACY DEPARTMENT
TACOMA, WA 98431
Obstetrics & Gynecology
MADIGAN ARMY MEDICAL CENTER, DEPT OF OB/GYN
TACOMA, WA 98431
Plastic Surgery
MADIGAN ARMY MEDICAL CENTER
FT. LEWIS, WA 98431
Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN:MCHJ-QCR
TACOMA, WA 98431
Advanced Practice Midwife
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN: MCHJ-QCR
TACOMA, WA 98431
Radiology (Neuroradiology)
MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Radiology (Radiation Oncology)
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST., ATTN: MCHJ-QCR
TACOMA, WA 98431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679815195, enumerated as an "individual" on March 22, 2013.

The provider is located at MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS DR TACOMA, WA 98431 and the phone number is (989) 859-3260.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc. Please consult your insurance carrier or call the provider to verify.

Brandon Fetterolf is affiliated with: CAROLINAS MEDICAL CENTER-NORTHEAST and CAROLINAS MEDICAL CENTER/BEHAV HEALTH.