LYSA SUSANNE WARD (MD) – Emergency Medicine Physician, NPI 1023053857
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
Provider Addresses for LYSA SUSANNE WARD (MD)
209 Martin Luther King Jr Way
Tacoma, WA 984054265
Phone: (253) 596-3300
Fax: (253) 596-3301
Type: Location
Mortgage Express, 505, South 336th Street, Federal Way, King County, Washington, 98003-5402, United States
SUITE 600
FEDERAL WAY, WA 980036328
Phone: (253) 838-6180
Fax: (253) 838-6418
Type: Mailing
St. Francis Hospital, 34515, 9th Avenue South, Kitts Corner, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980036761
Phone: (253) 838-9700
Fax: (253) 838-6418
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-04-28
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 |
|---|---|---|---|---|
| I20040428001201 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Family Practice | WA | |
| Physician Assistant | WA | |
| - | PA | |
| Emergency Medicine | NJ | |
| Internal Medicine | IN | |
| Physician Assistant | OH | |
| Mental Health Counselor | WA | |
| Emergency Medicine | MA | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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