BRENT D. KOOY (P.A.) – Medical Physician Assistant, NPI 1033261458
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for BRENT D. KOOY (P.A.)
PO BOX 34584
SEATTLE, WA 981241584
Phone: (509) 241-7349
Fax: (509) 241-7628
Type: Mailing
11511 NE 10TH ST
BELLEVUE, WA 980048578
Phone: (425) 502-3000
Type: Location
2700, 152nd Avenue Northeast, Redmond, King County, Washington, 98052, United States
REDMOND, WA 980525543
Phone: (425) 883-5151
Type: Location
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642
Phone: (208) 482-5550
Fax: (208) 482-5555
Type: Mailing
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: 2024-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050201000229 | I | Physician Assistant | WA | TBD |
| I20240916003910 | I | Physician Assistant | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | AZ | |
| Sports Medicine | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CO | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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