DR. DAVID PHIPPS POMEROY M.D.
NPI 1760701528
General Practice in Bellevue, WA

Active since May 19, 2010Opted out of Medicare · through Mar 24, 2027
2000 116TH AVE NE STE 6, BELLEVUE, WA 98004(425) 454-8684(206) 339-5465 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Phipps Pomeroy M.d. NPPES

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

DR. DAVID PHIPPS POMEROY M.D. (NPI 1760701528) is an individual general practice provider in Bellevue, Washington, licensed in Washington (15957) and active in the NPI registry since May 2010. He has opted out of Medicare through March 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760701528
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DAVID PHIPPS POMEROYCredential: M.D.
Location Address2000 116TH AVE NE STE 6Bellevue, WA 98004-3047
Mailing Address2000 116th Ave Ne Ste 6Bellevue, WA 98004-3047 · (425) 454-8684 · Fax (206) 339-5465
Fax(206) 339-5465
Sole ProprietorYes
Enumeration DateMay 19, 2010
Last NPPES UpdateJanuary 31, 2018
NPI 1760701528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WA · 15957
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00015957 (WA)
2000 116TH AVE NE STE 6, Bellevue, WA 98004

Other Identifiers 1

Medicaid1608702WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David Phipps Pomeroy M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 24, 2015 through March 24, 2027.

Opt-Out Effective DateMarch 24, 2015
Opt-Out In Effect ThroughMarch 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 David Pomeroy's NPI number?

The NPI number for David Pomeroy is 1760701528. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is David Pomeroy located?

David Pomeroy practices at 2000 116th Ave NE Ste 6, Bellevue, WA 98004. The listed phone number is (425) 454-8684.

What is David Pomeroy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Pomeroy enrolled in Medicare?

No. David Pomeroy has opted out of Medicare through March 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Pomeroy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list David Pomeroy 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 David Pomeroy was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.