Active NPI
Peter Paul Pacut, MD
- Neurology Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD61483866
- Practice address
- 710 Birchwood Ave Ste 201
Bellingham, WA 98225-1720 - Phone
- (360) 788-6870
- Fax
- (360) 788-6872
- NPI assigned
- Apr 26, 2019
- Reactivated
- Jan 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | MD61483866 | WA | Primary |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | MD61483866 | WA |
Addresses
Primary practice location
710 Birchwood Ave Ste 201
Bellingham, WA 98225-1720
Mailing address
710 Birchwood Ave Suites 201 and 202
Bellingham, WA 98225
Phone (360) 788-6870
Other practice location 1
55 Lake Avenue North
Internal Medicine
Worcester, MA 01655
Phone (774) 442-2173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
710 Birchwood Ave
Suite 201
Bellingham, WA 98225-1720
Phone (360) 788-6870
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
- Island Hospital
- Peacehealth United General Medical Center
- Peacehealth Peace Island Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 86.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61483866 | WA | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Neurology | Current | Accepting new patients |
Locations
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
710 Birchwood Ave
Ste 201
Bellingham, WA 98225
Phone (360) 788-6870
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
Interoperability endpoints
- ppacut657895@direct.peacehealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba PeaceHealth Medical Group
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
Neurology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Peacehealth Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
dba Island Hospital
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1568026433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BIRCHWOOD AVE SUITES 201 AND 202",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-788-6870",
"fax_number": "360-788-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 BIRCHWOOD AVE STE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251720",
"telephone_number": "360-788-6870",
"fax_number": "360-788-6872"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Avenue North",
"address_2": "Internal Medicine",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "01655",
"country_code": "US",
"telephone_number": "774-442-2173",
"fax_number": "774-442-6781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACUT",
"first_name": "PETER",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-26",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"deactivation_date": "2020-01-13",
"reactivation_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD61483866",
"primary": true
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "WA",
"license": "MD61483866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
- Pacific Recovery and Healing Center
- Pacific Rim Orthopaedic Surgeons
- Pacific Rim Outpatient Surgery Center, Limited Liability Company
- Pacific Rim Urology
- Pacific Vascular Incorporated
- Patrick J. Pacyga, D.D.S.
- Stephanie Lynn Padich, LMHC
- Christina Marie Padilla
- Cynthia J Paffumi, M.A.
- Allison Carrie Page
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.