Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry L Fontanilla Jr., MD

Individual provider Emergency Medicine Physician · NPI 1518908797

Dr. Larry L Fontanilla Jr., MD practises Emergency Medicine in Olympia, Washington. Graduated from University of Hawaii John A. Burns School of Medicine in 1999, 27 years ago. Practices with Olympia Emergency Services PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133 Not confirmed with CMS for 18 years — call before visiting
Phone: (360) 491-9480
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00043682 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD00043682 (WA)

Record details

NPI number1518908797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESNovember 27, 2007

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Olympia Emergency Services Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients145
Services billed 205 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.

Colleagues at Olympia Emergency Services PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.

Other providers in Olympia