1. Home
  2. Directory
  3. Washington
  4. Covington
  5. Internal Medicine
  6. NPI Profile

DR. VERLENE JOYCE GAUTHIER M.D.
NPI 1730158478
Internal Medicine - Rheumatology in Covington, WA

Active since March 15, 2006PECOS Enrolled
27005 168TH PL SE, STE 301, COVINGTON, WA 98042(253) 395-1971(253) 395-1983 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Verlene Joyce Gauthier M.d. NPPES

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

DR. VERLENE JOYCE GAUTHIER M.D. (NPI 1730158478) is an individual rheumatology provider in Covington, Washington, licensed in Washington (MD00023841) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730158478
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. VERLENE JOYCE GAUTHIERCredential: M.D.
Location Address27005 168TH PL SE, STE 301Covington, WA 98042-4902
Mailing AddressPo Box 34876Seattle, WA 98124-1876 · (425) 656-5412 · Fax (425) 656-4096
Phone(253) 395-1971
Fax(253) 395-1983
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1730158478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WA · MD00023841
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
27005 168TH PL SE, Covington, WA 98042
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Verlene Joyce Gauthier M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Verlene Gauthier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cs Pacs 3 Northwest, LLC
15 mi
Hospitalist
2508 7TH ST SE
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 91 clinicians in this Medicare group
NPI 1811752066 (253) 841-6600
Wa Pacs 2 PC
21 mi
Hospitalist
4755 S 48TH ST
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 104 clinicians in this Medicare group
NPI 1144706532 (865) 693-1000
Washington Pac Services PC
223 mi
Hospitalist
1224 E WESTVIEW CT
Spokane, WA 99218
  • Reassigned Medicare billing, Washington enrollment
  • 105 clinicians in this Medicare group
NPI 1336678168 (865) 693-1000

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 2

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
22 services22 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98042 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 4

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

LINDSAY ELAINE HANSON DPT, ATC
Physical Therapist
27005 168TH PL SE, SUITE 200
COVINGTON, WA 98042
King County (253) 639-4788
MAGDALENA JONES PT, DPT
Physical Therapist
27005 168TH PL SE
COVINGTON, WA 98042
King County (253) 630-5808
OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION INC PC
Physical Therapist
27005 168TH PL SE, STE 200
COVINGTON, WA 98042
King County (253) 639-4788
PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY
Internal Medicine (Rheumatology)
27005 168TH PL SE, STE 301
RENTON, WA 98042
King County (253) 395-1971

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 Verlene Gauthier's NPI number?

The NPI number for Verlene Gauthier is 1730158478. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Verlene Gauthier located?

Verlene Gauthier practices at 27005 168th Pl SE Ste 301, Covington, WA 98042. The listed phone number is (253) 395-1971.

What is Verlene Gauthier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Verlene Gauthier enrolled in Medicare?

Yes. Verlene Gauthier is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Verlene Gauthier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Verlene Gauthier reassigns Medicare benefits to 3 organizations: Cs Pacs 3 Northwest, LLC (Puyallup, WA), Wa Pacs 2 PC (Tacoma, WA) and Washington Pac Services PC (Spokane, WA). 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 Verlene Gauthier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Verlene Gauthier was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.