DR. VIVIAN A LOMBILLO MD PHD
NPI 1013938620
Dermatology - Pediatric Dermatology in Olympia, WA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
703 LILLY RD NE SUITE 105, NORTHWEST PEDIATRIC DERMATOLOGY, PLLC, OLYMPIA, WA 98506(360) 539-6141 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2025, Feb 21, 2020, Aug 8, 2016 (3 updates tracked since 2016).

About Dr. Vivian A Lombillo Md Phd NPPES

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

DR. VIVIAN A LOMBILLO MD PHD (NPI 1013938620) is an individual pediatric dermatology provider in Olympia, Washington, licensed in Washington (MD00046225) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1013938620
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. VIVIAN A LOMBILLOCredential: MD PHD
Location Address703 LILLY RD NE SUITE 105, NORTHWEST PEDIATRIC DERMATOLOGY, PLLCOlympia, WA 98506
Mailing Address703 Lilly Rd Ne Suite 105, Northwest Pediatric Dermatology, PllcOlympia, WA 98506 · (360) 539-6141
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1013938620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License Licensed in WA · MD00046225
Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Also ListedDermatologyTaxonomy 207N00000X · License MD00046225 (WA)
703 LILLY RD NE SUITE 105, Olympia, WA 98506

Secondary Practice Location 1

Location 1812 Ocean Beach Hwy Ste 200Longview, WA 98632-4082 · Phone (360) 501-3547 · Fax (360) 578-3355

Other Identifiers 1

Medicaid03367104WA

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

Dr. Vivian A Lombillo Md Phd 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 ID446254924
PECOS Enrollment IDI20060914000608
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.

Hospital Affiliations CMS Care Compare

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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.

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 Vivian Lombillo's NPI number?

The NPI number for Vivian Lombillo is 1013938620. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Vivian Lombillo located?

Vivian Lombillo practices at 703 Lilly Rd NE Suite 105 Northwest Pediatric Dermatology, PLLC, Olympia, WA 98506. The listed phone number is (360) 539-6141.

What is Vivian Lombillo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Vivian Lombillo enrolled in Medicare?

Yes. Vivian Lombillo 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 Vivian Lombillo accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Vivian Lombillo 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 Vivian Lombillo affiliated with any hospitals?

According to CMS data, Vivian Lombillo is affiliated with Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Vivian Lombillo was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.