THERESA A PLATZ (M.D.) – Family Medicine Physician, NPI 1689627747

THERESA A PLATZ (M.D.) is a healthcare provider. based in Bothell, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00036522 (WA). The NPI Number for THERESA A PLATZ (M.D.) is 1689627747

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
THERESA A PLATZ (M.D.)
NPI
1689627747
Phone
(425) 485-3955
Address
PO BOX 646
Enumeration Date
18 May 2006
Last Update Date
3 April 2009

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4254869131
Graduation Year
1996 (30 years ago)
PAC ID
2264474113
Group Practice PAC ID
7618880097
Professional Enrollment ID
I20050601000662
Address ID
WA980113839BO10025STXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for THERESA A PLATZ (M.D.)

  • PO BOX 646

    BOTHELL, WA 980410646

    Phone: (425) 485-3955

    Type: Mailing

  • Evergreen Health, 10025, Northeast 186th Street, Bothell, King County, Washington, 98011, United States

    BOTHELL, WA 980113839

    Phone: (425) 486-9131

    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 $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($126).

Total Amount

$126

General + Research + Ownership

Payments

1

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$126
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: 2005-06-01

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
I20050601000662IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11880$0
36415Insertion of needle into vein for collection of blood sample6357$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5252$0
84443Blood test, thyroid stimulating hormone (tsh)4139$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test4139$0
View full utilization report →

Insurance plans in this area (ZIP 98041)

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Provider's Procedures

THERESA A PLATZ (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA83036Hemoglobin A1C level1211

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: 7618880097View full group profile
NameSpecialtyState
-WA
-WA
-WA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WA
Physician AssistantWY
-WA
Nurse PractitionerWA
Physician AssistantWV
Family PracticeVT
-WA

Reviews

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Frequently asked questions

Can I verify THERESA A PLATZ (M.D.) with an NPI only?
You can start verification with NPI 1689627747 for THERESA A PLATZ (M.D.), then check state licensing separately.
Does CMS list THERESA A PLATZ (M.D.) as active?
Yes — THERESA A PLATZ (M.D.) is active in the NPI listing used on this page.
What is THERESA A PLATZ (M.D.) best known for clinically?
Directory data describes THERESA A PLATZ (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect THERESA A PLATZ (M.D.) on a map?
Expect Bothell, Washington as a primary anchor for THERESA A PLATZ (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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