Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Taylor J Broughton , PA-C

Physician Assistant • Deer Park, WA

Active NPI 1952758187 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

905 E D St
Deer Park, WA 990065167

Call 5092765005 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

905 E D St

Deer Park, WA 990065167

Telephone 5092765005
Fax 5092767785
Organization at the Same NPPES Address or Phone
Deer Park Family Care Clinic Ps Facility NPI 1548294150

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Spokane Valley, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Privia Medical Group Washington Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

229 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $45,020 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $27,181 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

14,856 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$780,220 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $543.86 across 27 records.

By nature of payment

  • Food and Beverage: $543.86 across 27 records.

Reporting-company totals (3 largest of 12)

  • Novo Nordisk Inc: $153.10 across 8 records.
  • ABBVIE INC.: $102.56 across 4 records.
  • ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $56.64 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Taylor Broughton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Taylor Broughton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Deer Park and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Too few clinicians listed under Physician Assistant in Deer Park have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Too few clinicians listed under Physician Assistant in Deer Park have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Too few clinicians listed under Physician Assistant in Deer Park have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Too few clinicians listed under Physician Assistant in Deer Park have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

Too few clinicians listed under Physician Assistant in Deer Park have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Physician Assistant with a practice address in Deer Park, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 27 records totaling $543.86.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $30.16
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $27.95
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $25.11
Philips North America LLC
Food and Beverage
Cash or cash equivalent
MCOT General $24.90
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $24.85
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $24.64
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $23.81
Novo Nordisk Inc
Food and Beverage
In-kind items and services
— General $23.53
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $22.31
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $22.14
Lundbeck LLC
Food and Beverage
Cash or cash equivalent
REXULTI General $21.98
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $21.81
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $20.62
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $19.88
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $19.35
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $19.32
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $17.97
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $17.65
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $16.94
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $16.34
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $16.25
Kowa Pharmaceuticals America, Inc.
Food and Beverage
In-kind items and services
ZORYVE General $15.65
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.62
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $15.55
Kowa Pharmaceuticals America, Inc.
Food and Beverage
In-kind items and services
ZORYVE General $14.06

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
311 39 $1.50 $1.11
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
246 134 $175.00 $106.57
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
155 108 $125.00 $64.32
36415 Insertion of needle into vein for collection of blood sample
46 39 $28.00 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 39 $222.24 $108.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
36 35 $90.00 $50.65
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
34 18 $69.00 $40.24

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 876 25,392 $13,540.03 127
Levothyroxine Sodium Levothyroxine Sodium 747 21,734 $8,476.29 104
Trazodone Hcl Trazodone Hcl 588 16,190 $8,069.67 89
Lisinopril Lisinopril 481 14,116 $5,069.37 74
Sertraline Hcl Sertraline Hcl 416 11,929 $5,610.36 65
Omeprazole Omeprazole 394 11,354 $5,117.00 54
Furosemide Furosemide 391 11,149 $2,483.45 65
Metformin Hcl Metformin Hcl 333 9,565 $2,945.67 56
Potassium Chloride Potassium Chloride 324 9,464 $5,686.48 56
Amlodipine Besylate Amlodipine Besylate 319 9,533 $2,840.34 51
Famotidine Famotidine 319 9,326 $5,789.47 51
Gabapentin Gabapentin 298 8,684 $6,361.91 56
Quetiapine Fumarate Quetiapine Fumarate 295 7,936 $7,761.21 44
Eliquis Apixaban 277 7,990 $164,815.72 38
Pantoprazole Sodium Pantoprazole Sodium 251 7,368 $4,265.21 36
Mirtazapine Mirtazapine 244 6,890 $5,959.33 40
Losartan Potassium Losartan Potassium 242 7,196 $3,355.48 38
Metoprolol Succinate Metoprolol Succinate 207 6,122 $3,606.69 34
Divalproex Sodium Divalproex Sodium 195 5,440 $6,159.73 23
Tamsulosin Hcl Tamsulosin Hcl 192 5,593 $3,549.04 32
Metoprolol Tartrate Metoprolol Tartrate 180 5,124 $1,495.41 27
Olanzapine Olanzapine 167 4,538 $3,708.65 25
Escitalopram Oxalate Escitalopram Oxalate 151 4,279 $1,816.69 20
Donepezil Hcl Donepezil Hcl 145 4,255 $2,058.76 23
Fluticasone Propionate Fluticasone Propionate 139 5,694 $3,525.46 30

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA60685606

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20161121001221

Enrollment State Jurisdiction

WA

PECOS Control ID

4385923051

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Privia Medical Group Washington Pllc

309 E Farwell Rd, Spokane, WA 992188207

Phone: 5094749838

Privia Medical Group Washington Pllc

702 S Park St, Deer Park, WA 990067025

Phone: 5092629000

Privia Medical Group Washington Pllc

905 E D St, Deer Park, WA 990065167

Phone: 5092765005

Privia Medical Group Washington Pllc

55 W Tietan St, Walla Walla, WA 993624445

Phone: 50952537201405

Secondary Practice Locations

920 N Argonne Rd Ste 115

Spokane Valley, WA 992122796

Phone: 5094082107

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Stephanie Doud , ARNP

Nurse Practitioner - Primary Care

NPI 1861128852

Advanced Registered Nurse Practitioner

NPI 1487650883

Doctor of Medicine (M.D.)

NPI 1518134964

Doctor of Medicine (M.D.)

Derek Hennessy , PA-C

Physician Assistant

NPI 1073685285

Physician Assistant (Certified)

Kendahl Ludiker , PA

Physician Assistant

NPI 1083248686

Physician Assistant

Dr. Julie Moran , MD

Family Medicine

NPI 1558367961

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2019

Physician Assistant (license number reported to NPPES: WA PA60685606)

âś…
NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 12, 2016

Registered at 905 E D ST, DEER PARK, WA 990065167 (Tel: 5092765005)

📍
Business Mailing Address (Initial Record) October 12, 2016

Registered at PO BOX 1529, DEER PARK, WA 990061529 (Tel: 5092765005)

👤
Provider Name / Credentials (Initial Record) October 12, 2016

Recorded as TAYLOR BROUGHTON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 17, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952758187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2016
Last Update: July 19, 2019
Sole Proprietor: Yes

Other Physician Assistants in Deer Park

Mailing Address

Po Box 1529

Deer Park, WA 990061529

Phone: 5092765005

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.