DR. MICHELLE M EDEN (MD) – Surgery Physician, NPI 1235108960

DR. MICHELLE M EDEN (MD) is a healthcare provider. based in Issaquah, Washington. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD00036227 (WA). The NPI Number for DR. MICHELLE M EDEN (MD) is 1235108960

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE M EDEN (MD)
NPI
1235108960
Phone
(425) 313-7124
Address
751 NE Blakely Dr Ste 4020
Enumeration Date
15 March 2006
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
5496647794
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20040329001650
Address ID
WA980296201IS751XXDRXX400

Contacts

Secure Messaging
meden1041530@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

826 GENERAL SURGERY in WA

Provider Addresses for DR. MICHELLE M EDEN (MD)

  • 751 NE Blakely Dr Ste 4020

    Issaquah, WA 980296201

    Phone: (425) 313-7124

    Fax: (425) 313-7057

    Type: Location

  • Medical Arts Center, 4033, Talbot Road South, Renton, King County, Washington, 98055, United States

    STE #530

    RENTON, WA 98055

    Phone: (425) 228-6076

    Fax: (425) 226-5224

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $1,518.

Total Amount is formed as General ($1,518) + Research ($0) + Ownership ($0) = $1,518.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,518).

Total Amount

$1,518

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$1,518
View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040329001650IGeneral SurgeryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 98029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
Nurse PractitionerWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHELLE M EDEN (MD)?
NPI 1235108960 is assigned to DR. MICHELLE M EDEN (MD) under the national enumeration system.
Does this profile mean DR. MICHELLE M EDEN (MD) is currently active?
Yes — DR. MICHELLE M EDEN (MD) appears active in the national provider directory.
What does DR. MICHELLE M EDEN (MD) treat or focus on?
Patients typically see DR. MICHELLE M EDEN (MD) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHELLE M EDEN (MD)?
We surface Issaquah, Washington for DR. MICHELLE M EDEN (MD) based on available NPPES addresses.
What if Issaquah, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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