MR. PETER YU CHANG PENG (PA-C) – Surgical Physician Assistant, NPI 1932546843
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 MR. PETER YU CHANG PENG (PA-C)
4455 148th Ave NE # B1
Bellevue, WA 980073120
Phone: (206) 386-2600
Fax: (206) 622-1644
Type: Location
PO BOX 827
BELLEVUE, WA 980090827
Phone: (425) 774-1538
Fax: (425) 774-5171
Type: Mailing
21616 76TH AVE W STE 102
EDMONDS, WA 980267512
Phone: (425) 774-1538
Fax: (425) 774-5171
Type: Location
7683 SE 27TH ST STE 254
MERCER ISLAND, WA 980402804
Phone: (425) 999-3580
Fax: (425) 531-7919
Type: Mailing
1200 112TH AVE NE STE C210
BELLEVUE, WA 980043740
Phone: (425) 999-3580
Fax: (425) 999-3122
Type: Location
601 BROADWAY FL 7
SEATTLE, WA 981225330
Phone: (206) 386-2600
Fax: (206) 622-1644
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 $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Endo USA, Inc. ($17).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo USA, Inc. | $17 |
| ATRICURE, INC. | $14 |
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: 2013-07-18
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 |
|---|---|---|---|---|
| I20130718000291 | 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 |
|---|---|---|---|---|
| 26449 | Release of tendon extending from finger to forearm | 32 | 16 | $0 |
| 26478 | Lengthening of tendon of palm side of finger or hand | 23 | 14 | $0 |
| 64911 | Repair of nerve using vein graft | 13 | 12 | $0 |
| 26480 | Transfer of tendon to back of hand | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| Physician Assistant | 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 |
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