DR. PATRICK T. HURLEY M.D.
NPI 1003011933
Radiology - Diagnostic Radiology in Lynnwood, WA

NPI Status: Active since June 20, 2007

Contact Information

19020 33RD AVE W
SUITE 210
LYNNWOOD, WA
ZIP 98036
Phone: (425) 563-1500
Fax: (425) 563-1501

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  • Individual
  • Male
  • Years of Experience 22
  • Radiology
  • Diagnostic Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About PATRICK HURLEY

Patrick Hurley is a provider established in Lynnwood, Washington and his medical specialization is Radiology with a focus in diagnostic radiology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1003011933 assigned on June 2007. The practitioner's primary taxonomy code is 2085R0202X with license number MD00049440 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1003011933
Provider Name
DR. PATRICK T. HURLEY M.D.
Gender
Male
Entity Type
Individual
Location Address
19020 33RD AVE W SUITE 210 LYNNWOOD, WA 98036
Location Phone
(425) 563-1500
Location Fax
(425) 563-1501
Mailing Address
19020 33RD AVE W SUITE 210 LYNNWOOD, WA 98036
Mailing Phone
(425) 563-1500
Mailing Fax
(425) 563-1501
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-20-2007
Last Update Date
04-12-2017
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Patrick Hurley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program and the following quality measures were reported: . The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.63 for a new patient copayment and $18.43 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
MD00049440
License State
WA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

23852 (WV)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Plan, Inc.

    • Moda Health Affinity Bronze 7750 - EPO
    • Moda Health Affinity Bronze 9000 - EPO
    • Moda Health Affinity Bronze HSA 7500 - EPO
    • Moda Health Affinity Gold 1000 - EPO
    • Moda Health Affinity Gold 250 - EPO
    • Moda Health Affinity Silver 3500 - EPO
    • Moda Health Affinity Silver 4500 - EPO
    • Moda Health Affinity Silver 6400 - EPO
    • Moda Health Beacon Bronze 7750 - EPO
    • Moda Health Beacon Bronze 9000 - EPO
    • Moda Health Beacon Bronze HSA 7500 - EPO
    • Moda Health Beacon Gold 1000 - EPO
    • Moda Health Beacon Gold 1500 - EPO
    • Moda Health Beacon Gold 250 - EPO
    • Moda Health Beacon Silver 3000 - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G8960253MEDICARE PIN (08)WA 
1089302MEDICAID (05)WA 
G8857903MEDICARE PIN (08)WA 
P01766338MEDICARE PIN (08)WA 
G8960254MEDICARE PIN (08)WA 
G8960250MEDICARE PIN (08)WA 

PECOS Enrollment and Medicare Participation Status

Patrick Hurley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3476653619

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080715000434

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98036 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.52
  • Minimum New Patient Price $58.96
  • Maximum New Patient Price $178.29
  • Average New Patient Copayment $22.63
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.74
  • Minimum Established Patient Price $18.53
  • Maximum Established Patient Price $145.92
  • Average Established Patient Copayment $18.43
  • Minimum Established Patient Copayment $4.63
  • Maximum Established Patient Copayment $36.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 443

    X-ray of chest, 1 view (HCPCS:71045)

  • 140

    X-ray of chest, 2 views (HCPCS:71046)

  • 128

    Ct scan head or brain (HCPCS:70450)

  • 113

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 54

    Ct scan chest (HCPCS:71250)

  • 52

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 37

    Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)

  • 34

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 27

    X-ray of knee, 3 views (HCPCS:73562)

  • 26

    X-ray of foot, minimum of 3 views (HCPCS:73630)

  • 26

    X-ray of shoulder, minimum of 2 views (HCPCS:73030)

  • 13

    X-ray of wrist, minimum of 3 views (HCPCS:73110)

  • 12

    Ct scan of face (HCPCS:70486)

  • 11

    X-ray of hand, minimum of 3 views (HCPCS:73130)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Patrick Hurley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OVERLAKE HOSPITAL MEDICAL CENTER1035-116TH AVE NE
BELLEVUE, WA 98004
(425) 688-5000Acute Care Hospitals
PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL1165 MONTGOMERY DR
SANTA ROSA, CA 95405
(707) 525-5300Acute Care Hospitals
PROVIDENCE HOLY CROSS MEDICAL CENTER15031 RINALDI ST
MISSION HILLS, CA 91346
(818) 365-8051Acute Care Hospitals
PROVIDENCE SAINT JOHN'S HEALTH CENTER2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
(310) 829-5511Acute Care Hospitals
HENRY MAYO NEWHALL HOSPITAL23845 MCBEAN PKWY
VALENCIA, CA 91355
(661) 253-8000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011933
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 9 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003011933 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902220866DR. NORMAN P. GOODWIN
Individual
Dentist19020 33RD AVE W SUITE 200
LYNNWOOD, WA 98036
(425) 771-2022
1902890700 ELIZABETH W COTTER M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1376530048DR. ARTHUR A. CASTAGNO M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1215924774DR. LARRY SIMON ANDERSON M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1356338818DR. KARA L. CARLSON M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1437137361DR. DAVID CHRISTOPHER MARLOW M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1417935354DR. JOHN WESLEY LITTLE III M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1205814191DR. MARY M. KELLY M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1568440113 PAULA S. HALLAM M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1275589871DR. ELLA C. DOO M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1467489229 SMITA JAIN M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1205864204DR. KIMBERLY BROWN BROCKENBROUGH M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1669489472 BART PATRICK KEOGH M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1215940325 ALLAN J. ROMANO M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1932300613 WILLIAM BRADLEY JONES M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1003015553DR. MICHAEL SCOT FISHMAN M.D.
Individual
Radiology (Vascular & Interventional Radiology)19020 33RD AVE W SUITE 210
LYNNWOOD, WA 98036
(425) 563-1500
1295718260 EDWARD H. SESSIONS M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
(425) 563-1500
1669450128DR. PEDRO T. VIECO M.D.
Individual
Radiology (Neuroradiology)19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
(425) 563-1500
1467430926DR. DAVID E. ZUNKEL M.D.
Individual
Radiology (Diagnostic Radiology)19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
(425) 563-1500
1760460240DR. YING M. WANG M.D.
Individual
Radiology (Body Imaging)19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
(425) 563-1500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011933, enumerated in the NPI registry as an "individual" on June 20, 2007

The provider is located at 19020 33rd Ave W Suite 210 Lynnwood, Wa 98036 and the phone number is (425) 563-1500

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 22 years of experience.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.52 with an average copayment of $22.63 for new patient appointments. Established patients should expect a typical charge of $73.74 and an average copayment of 18.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, X-ray of chest, 2 views, Ct scan head or brain, Ct scan of abdomen and pelvis with contrast, Ct scan chest, Ct scan of abdomen and pelvis, Nuclear medicine study with ct imaging skull base to mid-thigh, X-ray of hip with pelvis, 2-3 views, X-ray of knee, 3 views, X-ray of foot, minimum of 3 views, X-ray of shoulder, minimum of 2 views, X-ray of wrist, minimum of 3 views, Ct scan of face and X-ray of hand, minimum of 3 views.

The practitioner is affiliated to the following hospital(s): OVERLAKE HOSPITAL MEDICAL CENTER, PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL, PROVIDENCE HOLY CROSS MEDICAL CENTER, PROVIDENCE SAINT JOHN'S HEALTH CENTER and HENRY MAYO NEWHALL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.