Evergreen Eye Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1871095489
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Evergreen Eye Surgery Center
PO BOX 25020
FEDERAL WAY, WA 980932020
Phone: (206) 212-2100
Fax: (206) 212-2194
Type: Mailing
1229 Madison St Ste 1250
Seattle, WA 981043568
Phone: (206) 212-2100
Fax: (206) 212-2194
Type: Location
1229 MADISON ST STE 1250
SEATTLE, WA 981043568
Phone: (206) 212-2100
Fax: (206) 212-2194
Type: Mailing
1250, Madison Street, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981043568
Phone: (206) 212-2100
Fax: (206) 212-2194
Type: Location
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: 2018-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (588 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20180716000110 | O | Ambulatory Surgical Center | WA | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 148 | 89 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 111 | 64 | $0 |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 71 | 49 | $0 |
| 65820 | Incision to improve eye fluid flow | 43 | 24 | $0 |
| 65855 | Laser repair to improve eye fluid flow | 22 | 14 | $0 |
Insurance plans in this area (ZIP 98093)
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