Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany M. Ludka-Gaulke, MD

Individual provider Internal Medicine Physician · NPI 1518115393

Tiffany M. Ludka-Gaulke, MD practises Internal Medicine in Spokane, Washington. Graduated from University of Washington School of Medicine in 2008, 18 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington and Wisconsin.

Years since qualifying
18
Trained at
University of Washington School of Medicine
Licensed in
WA, WI
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9911 N Nevada St
Spokane, WA 99218-1298
Phone: (509) 626-9420
Fax: (509) 227-7070
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60563033 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 53392 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence MD60563033 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 53392 (WI)

Record details

NPI number1518115393
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2008
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 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 or shaving of skin growth 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 patients131
Services billed 569 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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $125 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Prov Sacred Hrt Med Ctr & Childs Hosp. Hospital · Spokane, WA
  • Providence At Home With Compassus Home Health, Inwa Home health agency · Spokane Valley, WA

Colleagues at Providence Health and Services Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 776 clinicians in the practice; 12 are shown here.

Other providers in Spokane