JOEL E HERNESS M.D.
NPI 1023379260
Family Medicine in Seattle, WA

Q: What is Joel Herness's NPI number?

The NPI number for Joel Herness is 1023379260. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Q: What is Joel Herness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joel Herness was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 05, 2012PECOS Enrolled

1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Dec 4, 2024, Jul 6, 2022 and 2 more (5 updates tracked since 2018).

On this page

About Joel E Herness M.d. NPPES

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

JOEL E HERNESS M.D. (NPI 1023379260) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD.MD.60712573) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023379260

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOEL E HERNESSCredential: M.D.

Location Address1959 NE PACIFIC STSeattle, WA 98195-0001

Mailing AddressPo Box 50095Seattle, WA 98145-5095

Phone(206) 520-5000

Sole ProprietorNo

Enumeration DateJune 5, 2012

Last NPPES UpdateAugust 28, 20265 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1023379260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD.MD.60712573

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1959 NE PACIFIC ST, Seattle, WA 98195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel E Herness M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Joel Herness reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Sound Inpatient Physicians PLLC

1.9 mi

Skilled Nursing Facility

2717 DEXTER AVE, QUEEN ANNE HEALTHCARE
Seattle, WA 98109

Reassigned Medicare billing, Washington enrollment
915 clinicians in this Medicare group

NPI 1699917369 (206) 284-7012

Quantum Healthcare Medical Associates Inc.

972 mi

Hospitalist

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
338 clinicians in this Medicare group

NPI 1568490597 (909) 580-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services32 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

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.

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.

LEONIE A NEVILLE PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 598-4874

ALISA BETH KACHIKIS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195

King County (206) 598-4070

MS. MARY PATRICIA DODGE MS, OTR/L

Occupational Therapist

1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195

King County (206) 598-4830

RIKA SHIRAKAWA M.D.

Ophthalmology

1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195

King County (206) 558-9616

VEDA TSOI M.D.

Anesthesiology

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (801) 556-7628

KATHRYN TAMURA PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195

King County (206) 598-6060

DR. MARK ROBERT, MICHAEL KILGORE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195

King County (206) 598-1821

DR. SERKAN MEHMET SAHIN M.D.

Hospitalist

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 543-6420

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 Joel Herness's NPI number?

The NPI number for Joel Herness is 1023379260. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Joel Herness located?

Joel Herness practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is Joel Herness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Herness enrolled in Medicare?

Yes. Joel Herness is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joel Herness's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Herness reassigns Medicare benefits to 2 organizations: South Sound Inpatient Physicians PLLC (Seattle, WA) and Quantum Healthcare Medical Associates Inc. (Colton, CA). 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 Joel Herness's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Herness accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Joel Herness 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 Joel Herness was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.