Michael Lee Ettner, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD61241262 Issued in WA

Practice address

1012 S 3Rd St
Dayton, WA 99328-1696

Phone

(509) 382-8347

Fax

(509) 382-3205

NPI assigned

Aug 23, 2005

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, TX, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency MedicineAlso: Family Practice, Hospitalist

Education

Tulane University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia County Hospital DistrictGroup PAC ID 5597653758, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trios Health Hospital, Kennewick, WA, CCN 500053
• Dayton General Hospital Hospital, Dayton, WA, CCN 501302
• Dayton General Hospital Nursing home, CCN 50Z302

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

84.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
• Direct secure messaging: michael.ettner.1@11894.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia County Hospital District

  dba Columbia County Health System

  • Critical Access Hospital
  • Dayton, WA
  • NPI 1134128911
  Medicare reassignment Care Compare group NPD
• Sound Physicians Emergency Medicine of Washington PLLC

  • Emergency Medicine Physician
  • Sedro Woolley, WA
  • NPI 1629532064
  Medicare reassignment NPD
• Washington Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Kennewick, WA
  • NPI 1346586351
  Medicare reassignment NPD
• Benewah Community Hospital

  dba St Maries Family Medicine

  • Rural Health Clinic/Center
  • St Maries, ID
  • NPI 1386632180

  Emergency Medicine

  Medicare reassignment NPD
• Benewah Community Hospital

  • Critical Access Hospital
  • St Maries, ID
  • NPI 1548320435

  Emergency Medicine

  Medicare reassignment NPD
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Columbia County Hospital District

  dba Columbia Family Clinic

  • Rural Health Clinic/Center
  • Dayton, WA
  • NPI 1518044551
  NPD
• Columbia County Hospital District

  dba College Place Health Clinic

  • Primary Care Clinic/Center
  • College Place, WA
  • NPI 1851050264
  NPD
• Washington Emergency Physician Partners, PLLC

  • Emergency Medicine Physician
  • Spokane, WA
  • NPI 1598162844
  NPD
• Gritman Medical Center Inc.

  dba Gritman Internal Medicine Clinic

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia County Hospital District

  dba Columbia County Health System

  • Critical Access Hospital
  • Dayton, WA
  • NPI 1134128911
  Care Compare affiliation
• Columbia County Hospital District

  dba Medicare Defined Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Dayton, WA
  • NPI 1932286077

  Nursing home

  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1629061940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S 3RD ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281696",
            "telephone_number": "509-382-8347",
            "fax_number": "509-382-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S 3RD ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281696",
            "telephone_number": "509-382-8347",
            "fax_number": "509-382-3205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "WA",
            "postal_code": "993281696",
            "country_code": "US",
            "telephone_number": "509-382-2531",
            "fax_number": "509-382-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTNER",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-6577",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61241262",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61241262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014907",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard G Edison, PA-C
• Laurence A Eidt, M.D.
• Elk Drug Inc (Elk Drug)
• Elk Drug Inc
• Kim Irene Emery, PA-C
• Racheal Fletcher
• Kurt E Frauenpreis, MD
• Michael Frommlet, MD
• Michelle Fulbright
• Loretta Lynn Graves

• Emergency Medicine Physician in Dayton, WA
• Providers in Dayton, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.

Verify at the official NPI Registry.