Verlene Gauthier, M.D.
NPI 1730158478 · Rheumatology Physician · Covington, WA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Verlene Gauthier, M.D. is a Rheumatology Physician provider in Covington, WA (NPI 1730158478).
Provider details
- NPI number
- 1730158478
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD00023841 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 22 | $179 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 21 | $131 |
Typical Medicare-allowed amounts for these services range $131–$179 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 81 | 36 |
| Apixabanbrand: Eliquis | 58 | 16 |
| Gabapentin | 58 | 24 |
| Levothyroxine Sodium | 54 | 24 |
| Trazodone Hcl | 52 | 20 |
| Furosemide | 44 | 22 |
| Amlodipine Besylate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2012-09-19
Frequently asked questions
- What is Verlene Gauthier's NPI number?
- Verlene Gauthier's National Provider Identifier (NPI) is 1730158478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Verlene Gauthier's specialty?
- Verlene Gauthier is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Verlene Gauthier located?
- Verlene Gauthier's practice location on file with NPPES is 27005 168th Pl Se, Covington, WA 98042-4902.
- What is Verlene Gauthier's phone number?
- The practice phone number listed in the NPPES registry for Verlene Gauthier is (253) 395-1971.
- Does Verlene Gauthier accept Medicare?
- Verlene Gauthier is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Verlene Gauthier's NPI active?
- Yes — Verlene Gauthier's NPI (1730158478) is active in the NPPES registry as of the last update on 2012-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.