CHARLES M. LLEWELLYN MD
NPI 1790288280
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Tacoma, WA

Q: What is Charles Llewellyn's NPI number?

The NPI number for Charles Llewellyn is 1790288280. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Q: What is Charles Llewellyn's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Charles Llewellyn was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 12, 2018PECOS Enrolled

86.26/100

CMS Quality Rating

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1420(253) 968-3140 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Jul 12, 2023, Nov 18, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Charles M. Llewellyn Md NPPES

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

CHARLES M. LLEWELLYN MD (NPI 1790288280) is an individual otolaryngology/facial plastic surgery provider in Tacoma, Washington, licensed in Washington (MD61640327) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2018).

NPPES Registry Identity

NPI1790288280

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameCHARLES M. LLEWELLYNCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1420

Phone(253) 968-1420

Fax(253) 968-3140

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2018

Enumeration DateMarch 12, 2018

Last NPPES UpdateFebruary 20, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1790288280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in WA · MD61640327

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License A186385 (CA)

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License A186385 (CA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 32149 (NE)

9040 JACKSON AVE, Tacoma, WA 98431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles M. Llewellyn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315379864

PECOS Enrollment IDI20250923004273

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.86

Promoting Interoperability

100

Improvement Activities

Cost

64.12

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

2 suppliers11 claims272 services$4.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered