TY W LOSTUTTER PH.D.
NPI 1013327055
Psychologist - Clinical in Seattle, WA

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
4225 ROOSEVELT WAY NE, SEATTLE, WA 98105(206) 598-7792 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty W Lostutter Ph.d. NPPES

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

TY W LOSTUTTER PH.D. (NPI 1013327055) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY 60238397) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2009).

NPPES Registry Identity

NPI1013327055
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTY W LOSTUTTERCredential: PH.D.
Location Address4225 ROOSEVELT WAY NESeattle, WA 98105-6099
Mailing Address4225 Roosevelt Way NeSeattle, WA 98105-6099 · (206) 598-7792
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2009
Enumeration DateApril 29, 2014
NPI 1013327055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WA · PY 60238397
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4225 ROOSEVELT WAY NE, Seattle, WA 98105

Accepted 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

Ty W Lostutter Ph.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 ID2466676101
PECOS Enrollment IDI20140715001079
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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
59 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105
Dietitian, Registered
4225 ROOSEVELT WAY NE, CAMPUS BOX 354691
SEATTLE, WA 98105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4225 ROOSEVELT WAY NE, SUITE 101
SEATTLE, WA 98105
Dermatology
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105
Psychologist
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105
Dietitian, Registered
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4225 ROOSEVELT WAY NE, SUITE 101
SEATTLE, WA 98105
Psychologist (Clinical)
4225 ROOSEVELT WAY NE
SEATTLE, WA 98105

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 Ty Lostutter's NPI number?

The NPI number for Ty Lostutter is 1013327055. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Ty Lostutter located?

Ty Lostutter practices at 4225 Roosevelt Way NE, Seattle, WA 98105. The listed phone number is (206) 598-7792.

What is Ty Lostutter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ty Lostutter enrolled in Medicare?

Yes. Ty Lostutter 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 Ty Lostutter accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ty Lostutter 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.

When was this NPI record last updated?

The NPPES record for Ty Lostutter was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.