NORTH PACIFIC DERMATOLOGY PS – Ambulatory Surgical Clinic/Center, NPI 1881845907
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NORTH PACIFIC DERMATOLOGY PS
1200 112th Ave NE Ste C187
Bellevue, WA 980043749
Phone: (425) 457-7900
Fax: (425) 264-0601
Type: Location
1200, 112th Avenue Northeast, Bellevue, King County, Washington, 98004, United States
STE C187
BELLEVUE, WA 980043732
Phone: (425) 457-7900
Fax: (425) 264-0601
Type: Mailing
Women's & Family Specialists, 1412, Southwest 43rd Street, Renton, King County, Washington, 98013, United States
STE 205
RENTON, WA 980574803
Phone: (425) 264-0660
Fax: (425) 264-0601
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: 2008-10-31
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 |
|---|---|---|---|---|
| O20081031000236 | O | Ambulatory Surgical Center | 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 |
|---|---|---|---|---|
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 135 | 113 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 70 | 62 | $0 |
| 13152 | Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | 22 | 22 | $0 |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 15 | 12 | $0 |
| 13151 | Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98004)
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