LYDIA KATHERINE FIEZ (PA-C, MPAS) – Surgical Physician Assistant, NPI 1124628359
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 LYDIA KATHERINE FIEZ (PA-C, MPAS)
601 BROADWAY STE 700
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Mailing
916 13TH AVE UNIT B
SEATTLE, WA 981224475
Phone: (503) 867-4381
Type: Mailing
801 BROADWAY STE 617
SEATTLE, WA 981224319
Phone: (206) 623-0922
Fax: (206) 623-1588
Type: Location
4455 148th Ave NE # B1
Bellevue, WA 980073120
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)
CMS reports 1 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($137).
Total Amount
$137
General + Research + Ownership
Payments
1
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $137 |
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: 2020-12-21
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 |
|---|---|---|---|---|
| I20201221000414 | 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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98122)
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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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