NPPES file of Aug 9, 2026

Tiffany M. Ludka-Gaulke, MD

Internal Medicine Physician · Spokane, WA

Tiffany M. Ludka-Gaulke, MD is an internal medicine physician with a practice address in Spokane, Washington, and NPI 1518115393, issued on Sep 4, 2008. Check the license (Washington MD60563033, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518115393
Name
Tiffany M. Ludka-Gaulke
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License numbers
MD60563033 WA
53392 WI
Self-reported in NPPES; status is on the state search
Practice location
9911 N Nevada St, Spokane, WA 99218
Phone
(509) 626-9420
Enumerated
Sep 4, 2008
Record last updated
Jun 16, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(509) 227-7070
Medicare enrollment
Enrolled (PECOS I20150814013940); accepts Medicare assignment
Medical or professional school
University Of Washington School Of Medicine, 2008
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 9911 N Nevada St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mark Gaulke, M.D.Internal Medicine Physician1972709129
  2. Kelly Grieves, MDFamily Medicine Physician1013969401
  3. Sarah Hess, MDInternal Medicine Physician1588951248
  4. Kathleen Moudy, PAMedical Physician Assistant1386606093
  5. Andrea Pizzini, DDSPeriodontics1831708833
  6. Kristi Rice, M.D.Pediatrics Physician1851321327

Verify Tiffany M. Ludka-Gaulke in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWashington Medical Commission
    Search for license MD60563033
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Washington license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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15% more Medicare Part D claims than the average internal medicine physician in 2024

3,667 Medicare Part D claims for 269 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 225 claims were for opioids.

  1. Tiffany Ludka-Gaulke3,667
  2. Specialty average3,176

Most prescribed

  1. Levothyroxine Sodium219 claims
  2. Hydrocodone-Acetaminophen123 claims
  3. Lisinopril111 claims
  4. Omeprazole103 claims
  5. Gabapentin100 claims
  6. Famotidine95 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Providence Health And Services WashingtonColville, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tiffany M. Ludka-Gaulke among 3,079 internal medicine physician records in Washington

Tiffany M. Ludka-Gaulke, MD is one of 3,079 internal medicine physician records with a practice address in Washington. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 54% of them.

  • NPI issued2008 · 54% of these records are older, 42% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2008 · median 2006 among the 1,852 with a school on file
  • Record last updated2021 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

230 internal medicine physician records list a practice address in Spokane

They are 230 of the 14,049 NPPES records with a practice address in Spokane, and 3,079 internal medicine physician records in Washington.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Mark Gaulke, M.D.Spokane, WA 992181972709129
  2. Sarah Hess, MDSpokane, WA 992181588951248
  3. Sean Hurley, MDSpokane, WA 992181477655579
  4. Jeffery Liles, MDSpokane, WA 992181669427449
  5. Jerrel Lochner, MDSpokane, WA 992181386746485
  6. Keith Morton, MDSpokane, WA 992181568564664
  7. Ronald Ortiz, MDSpokane, WA 992181659473759
  8. Scott Tetz, DOSpokane, WA 992181437529773

Common questions

What is Tiffany M. Ludka-Gaulke, MD's NPI number?

Tiffany M. Ludka-Gaulke, MD's National Provider Identifier (NPI) is 1518115393, issued on Sep 4, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Tiffany M. Ludka-Gaulke, MD located?

The NPPES record lists a practice address at 9911 N Nevada St, Spokane, WA, 99218. Phone: (509) 626-9420. Providers update this record themselves, so call before visiting.

How can I verify Tiffany M. Ludka-Gaulke, MD's license?

NPPES lists Washington license number MD60563033, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Tiffany M. Ludka-Gaulke, MD prescribe under Medicare Part D?

In 2024, Tiffany M. Ludka-Gaulke, MD had 3,667 Medicare Part D claims for 269 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.