Doctor profile · Federal record

Dr. Terry Silvestrin, ARNP

Women's Health Nurse Practitioner (CMS: Nurse Practitioner) · Tacoma, WA

  • NPI 1174523138
  • Accepts Medicare
  • 45 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
314 Martin Luther King JR Way, Ste 104
Tacoma, WA 984054250
(253) 272-5572
fax (253) 272-5699

Credentials & registration

NPPES · NUCC
NPI registered
July 2005 — 21 yrs on file
Profile last updated
December 19, 2007
Year of graduation
1981 — 45 yrs since
Specialty taxonomy
363LW0102X — NUCC code
State license (1)
Washington #AP30000319

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174523138. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
218
Distinct HCPCS
5
Medicare allowed
$11,743
HCPCS Description Services Patients Avg allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 62 62 $33
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 61 61 $37
99213 Established patient office or other outpatient visit, 20-29 minutes 55 45 $76
99214 Established patient office or other outpatient visit, 30-39 minutes 23 21 $108
99212 Established patient office or other outpatient visit, 10-19 minutes 17 17 $48

In context: peer comparison

Among 2 peers in Tacoma Women's Health Nurse Practitioner, average services per provider: 38. This provider delivers 5.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$90
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Astellas Pharma US INC 1 $90.00

By nature of payment

Education
$90

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
239
Patients
64
Total drug cost
$18,506
Drug Type Claims Patients Total cost
Estradiol Generic 127 53 $9,347
Estradiol (Twice Weekly) (Estradiol) Brand 25 0 $3,701
Progesterone (Progesterone, Micronized) Brand 24 0 $1,683
Clobetasol Propionate Generic 18 11 $360
Valacyclovir (Valacyclovir Hcl) Brand 18 0 $1,673
Fluconazole Generic 16 0 $98
Mimvey (Estradiol/Norethindrone Acet) Brand 11 0 $1,644

Frequently asked questions

Auto-generated from federal data
What is Dr. Terry Silvestrin's medical specialty?
Dr. Terry Silvestrin practices Women's Health Nurse Practitioner in Tacoma, WA.
Where does Dr. Terry Silvestrin practice?
Dr. Terry Silvestrin practices at 314 Martin Luther King JR Way, Tacoma, WA 984054250. Office phone: 2532725572.
What is Dr. Terry Silvestrin's NPI?
Dr. Terry Silvestrin's National Provider Identifier (NPI) is 1174523138, issued by NPPES.
Does Dr. Terry Silvestrin accept Medicare assignment?
Yes. Dr. Terry Silvestrin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Terry Silvestrin commonly perform?
Top Medicare-reported procedures in 2023: Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS Q0091); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.