DR. VIVIAN A LOMBILLO MD PHD
NPI 1013938620
Dermatology - Pediatric Dermatology in Olympia, WA
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Vivian Lombillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 525 clinicians in this Medicare group
Longview, WA 98632
- Reassigned Medicare billing, Washington enrollment
- 308 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WAPhysician 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.
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.
Which organizations bill Medicare for Vivian Lombillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Lombillo reassigns Medicare benefits to 2 organizations: Sea Mar Community Health Centers (Olympia, WA) and Peacehealth (Longview, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivian Lombillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vivian Lombillo accept?
Health plans from Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Vivian A Lombillo, MD PHD · NPI 1013938620
Pediatric Dermatology physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1013938620 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Dermatology - Pediatric Dermatology · taxonomy 207NP0225X
- **State license:** MD00046225 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 703 LILLY RD NE SUITE 105, NORTHWEST PEDIATRIC DERMATOLOGY, PLLC, Olympia, WA 98506
- **Phone:** (360) 539-6141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sea Mar Community Health Centers (NPI 1811320757, Olympia, WA); Peacehealth (NPI 1720056187, Longview, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** March 3, 2025
- **Other identifiers:** Medicaid 03367104 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1013938620) · Data from the CMS NPPES public registry.