KEVAN J. HAACK (PA-C) – Surgical Physician Assistant, NPI 1083061501
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KEVAN J. HAACK (PA-C)
4455 148th Ave NE # B1
Bellevue, WA 980073120
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Location
901, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
Broadway, Capitol Hill, Seattle, King County, Washington, 98191, United States
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Location
601 BROADWAY FL 7
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
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: 2018-01-29
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 |
|---|---|---|---|---|
| I20180129000924 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,440 | 21 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 110 | 86 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 77 | 68 | $0 |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 65 | 54 | $0 |
Insurance plans in this area (ZIP 98007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | UT | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA |
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