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DR. JOHN D PRYOR M.D.
NPI 1003082017
Orthopaedic Surgery in Everett, WA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
1100 PACIFIC AVE, SUITE 300, EVERETT, WA 98201(425) 339-2433(425) 339-8273 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John D Pryor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN D PRYOR M.D. (NPI 1003082017) is an individual orthopaedic surgery provider in Everett, Washington, licensed in Washington (MD60170138) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1003082017
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN D PRYORCredential: M.D.
Location Address1100 PACIFIC AVE, SUITE 300Everett, WA 98201-4261
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Phone(425) 339-2433
Fax(425) 339-8273
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2003
Enumeration DateApril 30, 2008
Last NPPES UpdateNovember 8, 2011
✔ NPI 1003082017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WA · MD60170138✔ Licensed in MA · 222521
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1100 PACIFIC AVE, Everett, WA 98201
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Other Identifiers 1

OtherG8893550WA · Medicare Non-king Co.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John D Pryor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032265350
PECOS Enrollment IDI20100928001518
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services71 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
82 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services42 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD L SEMON MD
Orthopaedic Surgery
1100 PACIFIC AVE, SUITE 300
EVERETT, WA 98201
Snohomish County (425) 339-2433
DR. PETER J. KINAHAN M.D.
Orthopaedic Surgery
1100 PACIFIC AVE, SUITE 300
EVERETT, WA 98201
Snohomish County (425) 339-2433
PENNY GOUDELOCK PA
Physician Assistant (Medical)
1100 PACIFIC AVE, SUITE 202
EVERETT, WA 98201
Snohomish County (425) 388-4075
DR. ROXANNE E HERTZOG M.D.
Anesthesiology
1100 PACIFIC AVE, SUITE 100
EVERETT, WA 98201
Snohomish County (206) 244-1212
MONO NHEAN OT
Occupational Therapist
1100 PACIFIC AVE, SUITE 201
EVERETT, WA 98201
Snohomish County (425) 374-2846
DR. DOUGLAS D NOWAK M.D.
Orthopaedic Surgery
1100 PACIFIC AVE, SUITE 300
EVERETT, WA 98201
Snohomish County (425) 339-2433
DR. HOWARD BARNUM BARKER MD
Orthopaedic Surgery
1100 PACIFIC AVE, SUITE 300
EVERETT, WA 98201
Snohomish County (425) 339-2433
DR. RALPH T. HALLER M.D.
Orthopaedic Surgery
1100 PACIFIC AVE, SUITE 300
EVERETT, WA 98201
Snohomish County (725) 339-2433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pryor's NPI number?

The NPI number for John Pryor is 1003082017. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is John Pryor located?

John Pryor practices at 1100 Pacific Ave Suite 300, Everett, WA 98201. The listed phone number is (425) 339-2433.

What is John Pryor's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Pryor enrolled in Medicare?

Yes. John Pryor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Pryor accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Pryor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Pryor affiliated with any hospitals?

According to CMS data, John Pryor is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for John Pryor was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.