CORALYNN SHAYNA SACK (MD) – Pulmonary Disease Physician, NPI 1265669147
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 CRITICAL CARE (INTENSIVISTS) in WA
Provider Addresses for CORALYNN SHAYNA SACK (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
4033 Talbot Rd S
Suite 500
Renton, WA 980555772
Phone: (425) 251-5110
Fax: (425) 793-7382
Type: Location
Swedish First Hill Medical Center, 747, Broadway, First Hill, Seattle, King County, Washington, 98122, United States
SEATTLE, WA 981224379
Phone: (206) 215-2520
Fax: (206) 215-6364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $2,181.
Total Amount is formed as General ($2,181) + Research ($0) + Ownership ($0) = $2,181.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($2,181).
Total Amount
$2,181
General + Research + Ownership
Payments
4
Total payment records
General Amount
$2,181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $2,181 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141013001898 | I | Critical Care (Intensivists) | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 32 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 23 | 23 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 22 | 22 | $0 |
| 94618 | Test for exercise-induced lung stress | 14 | 12 | $0 |
Insurance plans in this area (ZIP 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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