Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ralph A. Monteagudo, DO

Individual provider Family Medicine Physician · NPI 1194768283

Ralph A. Monteagudo, DO is registered under Family Practice in Wilbur, Washington. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1984, 42 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
42
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
WA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

214 SW Main St
Wilbur, WA 99185-0582
Phone: (509) 647-5321
Fax: (509) 647-2238
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00001334 (WA)

Record details

NPI number1194768283
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1984 (42 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of nail tissue 1–10 times
Removal of skin lesions 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients232
Services billed 1,147 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Duke University Hospital Hospital · Durham, NC
  • Duke Regional Hospital Hospital · Durham, NC
  • Duke Home Health Home health agency · Durham, NC

Colleagues at Duke University Affiliated Physicians, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 449 clinicians in the practice; 12 are shown here.

Other providers in Wilbur