ANDREW CAMERON DISCOLO (MD) – Surgery Physician, NPI 1306266044

ANDREW CAMERON DISCOLO (MD) is a healthcare provider. based in Seattle, Washington. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ML605650007 (WA). The NPI Number for ANDREW CAMERON DISCOLO (MD) is 1306266044

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW CAMERON DISCOLO (MD)
NPI
1306266044
Phone
(206) 386-2123
Address
747 BROADWAY
Enumeration Date
21 April 2014
Last Update Date
13 October 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9167811382
Graduation Year
2014 (12 years ago)
PAC ID
5799094207
Group Practice PAC ID
4880609767
Professional Enrollment ID
I20241101003403
Address ID
CA956613037RO1XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in WA

Provider Addresses for ANDREW CAMERON DISCOLO (MD)

  • 747 BROADWAY

    SUITE WW-739

    SEATTLE, WA 981224379

    Phone: (206) 386-2123

    Mailing address matches the actual address.

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: 2024-11-01

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
I20241101003403IGeneral SurgeryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98122)

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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: 4880609767View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)CA
General Surgery, Critical Care (Intensivists)CA
General SurgeryCA
General SurgeryCA
-CA
General Surgery, Critical Care (Intensivists)WI
General SurgeryMA
General SurgeryTX

Reviews

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Frequently asked questions

Is ANDREW CAMERON DISCOLO (MD) listed with a National Provider Identifier?
Yes — ANDREW CAMERON DISCOLO (MD) has NPI 1306266044 on file in the registry.
Is ANDREW CAMERON DISCOLO (MD) still an active registrant?
ANDREW CAMERON DISCOLO (MD) carries an active NPI according to the public dataset.
How would a patient describe ANDREW CAMERON DISCOLO (MD)'s focus?
For ANDREW CAMERON DISCOLO (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW CAMERON DISCOLO (MD)?
Travel planning: use Seattle, Washington as the reference point for ANDREW CAMERON DISCOLO (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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