KYLE PINE – Physician Assistant, NPI 1225601669
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KYLE PINE
3901 CAPITAL MALL DR SW STE A
OLYMPIA, WA 985028654
Phone:
Type: Mailing
4311 11TH AVE NE STE 200
SEATTLE, WA 981056367
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($149).
Total Amount
$149
General + Research + Ownership
Payments
1
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $149 |
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: 2022-11-18
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 |
|---|---|---|---|---|
| I20221118001823 | 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 | 284 | 228 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 281 | 213 | $0 |
| 72084 | X-ray of entire middle and lower spine, minimum of 6 views | 165 | 165 | $0 |
| 72082 | X-ray of entire middle and lower spine, 2-3 views | 87 | 80 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 98502)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| A N E S T H E S I O L O G Y | NH | |
| Physician Assistant | WA | |
| - | TX | |
| A N E S T H E S I O L O G Y | WA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | WA | |
| - | WA | |
| - | WA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.