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Dr. Anthony Breton Ketner , DO

Pediatrics β€’ Puyallup, WA

Active NPI 1922748656 Individual Practitioner Male Practitioner
Practice location in NPPES

11102 Sunrise Blvd E Ste 103
Puyallup, WA 983748846

Call 2538488797 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

11102 Sunrise Blvd E Ste 103

Puyallup, WA 983748846

Telephone 2538488797
Fax 2538451114
Organization at the Same NPPES Address or Phone
Woodcreek Pediatrics, Pllc Facility NPI 1699802728

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 Winston Salem, NC. See the list

Source: CMS NPPES NPI Registry, practice location records; 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

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2022

Industry payments (Open Payments)

Fewer than 11 payment records totaling $17.37 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 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

2022

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, β€œDoes 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)

Dr. Ketner 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 Dr. Ketner 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 Puyallup and Washington

24 active clinicians are listed under Pediatrics with a practice address in Puyallup, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Puyallup

0% of these 24 clinicians have the CMS telehealth indicator.

8.3% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $17.37.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $17.37

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

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA OP61602436

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20250926001243

Enrollment State Jurisdiction

WA

PECOS Control ID

8426430133

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.

Secondary Practice Locations

1 Medical Center Blvd

Winston Salem, NC 271573006

Phone: 3367162011

Clinicians Sharing This Practice Address or Phone

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

7 listed
NPI 1841268398

Doctor of Medicine (M.D.)

Rebecca Emiren , PA-C

Physician Assistant

NPI 1174144711

Physician Assistant (Certified)

Howard Hull , PA-C

Physician Assistant

NPI 1265410138

Physician Assistant (Certified)

Walter Patterson , ARNP

Nurse Practitioner - Family

NPI 1700055795

Advanced Registered Nurse Practitioner

Amy Virnig , ARNP

Nurse Practitioner - Family

NPI 1174704464

Advanced Registered Nurse Practitioner

Robert Williams , PA-C

Physician Assistant - Medical

NPI 1548685902

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location January 06, 2026

Registered at 11102 SUNRISE BLVD E STE 103, PUYALLUP, WA 983748846 (Tel: 2538488797)

πŸ“
Updated Business Mailing Address January 06, 2026

Registered at PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 984150299

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Pediatrics (license number reported to NPPES: WA OP61602436)

βœ…
NPI Profile Active April 02, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 02, 2022

Registered at 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 271573006 (Tel: 3367162011)

πŸ“
Business Mailing Address (Initial Record) April 02, 2022

Registered at ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001

πŸ‘€
Provider Name / Credentials (Initial Record) April 02, 2022

Recorded as ANTHONY KETNER, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922748656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2022
Last Update: January 06, 2026
Sole Proprietor: No

Mailing Address

Po Box 5299, Ms: 820-5-Pco

Tacoma, WA 984150299

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.