PETER JOHN FREY (PA-C) – Surgical Physician Assistant, NPI 1083991202
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for PETER JOHN FREY (PA-C)
3726 Broadway
Suite 201
Everett, WA 982013787
Phone: (425) 317-9119
Fax: (425) 317-9118
Type: Location
2320 Freeway Dr
Mount Vernon, WA 982735445
Phone: (360) 814-6800
Fax: (360) 814-6954
Type: Location
2320 FREEWAY DR
MOUNT VERNON, WA 982735445
Phone: (360) 814-6800
Fax: (360) 814-6954
Type: Location
1400 E KINCAID ST
ATTN: CREDENTIALING
MOUNT VERNON, WA 982744127
Phone: (360) 428-2500
Fax: (360) 428-6485
Type: Mailing
3823 172ND ST NE
ARLINGTON, WA 982237735
Phone: (360) 435-6641
Fax: (360) 848-4005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-10-27 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($144).
Total Amount
$320
General + Research + Ownership
Payments
7
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $144 |
| Heron Therapeutics, Inc. | $66 |
| DJO, LLC | $31 |
| Invictus Surgical Incorporated | $31 |
| Merck Sharp & Dohme LLC | $18 |
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: 2012-03-30
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 |
|---|---|---|---|---|
| I20120330000183 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 20 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 23 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98201)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Undefined Physician Type (Specify) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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