DEO SAMSON MACABIO PEREZ PAC
NPI 1033305826
Physician Assistant - Surgical in Tacoma, WA

NPI Status: Active since September 14, 2007

Contact Information

3124 S 19TH ST
SUITE 320
TACOMA, WA
ZIP 98405
Phone: (253) 301-5100
Fax: (253) 301-5101

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  • Individual
  • Male
  • Years of Experience 19
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DEO SAMSON PEREZ

This page provides the complete NPI Profile along with additional information for Deo Samson Perez, a provider established in Tacoma, Washington with a medical specialization in Physician Assistant, focusing in surgical and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1033305826 assigned on September 2007. The practitioner's primary taxonomy code is 363AS0400X with license number PA10005222 (WA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1033305826
Provider Name
DEO SAMSON MACABIO PEREZ PAC
Gender
Male
Entity Type
Individual
Location Address
3124 S 19TH ST SUITE 320 TACOMA, WA 98405
Location Phone
(253) 301-5100
Location Fax
(253) 301-5101
Mailing Address
3124 S 19TH ST SUITE 320 TACOMA, WA 98405
Mailing Phone
(253) 301-5100
Mailing Fax
(253) 301-5101
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
09-14-2007
Last Update Date
06-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA10005222
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Deo Samson Perez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Deo Samson Perez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729160338

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080204000514

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF008N)

    Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)

    1 DME suppliers used 14 Medicare Claims 2130 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Bcg live intravesical instillation, 1 mg

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

This service was performed 747 times for 12 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 40 times for 37 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 98 times for 88 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 17 times for 17 patients

Instillation of anti-cancer drug into bladder

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

This service was performed 35 times for 13 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

This service was performed 15 times for 15 patients

Ultrasound measurement of bladder capacity after voiding

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

This service was performed 38 times for 32 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Deo Samson Perez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TACOMA GENERAL ALLENMORE HOSPITAL315 S MLK JR WAY
TACOMA, WA 98405
(253) 403-1000Acute Care Hospitals

Reviews for DEO SAMSON MACABIO PEREZ PAC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033305826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063601084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 6 + 0 + 1 + 0 + 8 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033305826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

MARK R MARIANI M.D.

Family Medicine

(Sports Medicine)

3124 S 19TH ST
TACOMA, WA
ZIP 98405

(253) 459-7000

LEAZA M. DIERWECHTER M.D.

Surgery

3124 S 19TH ST
STE C220
TACOMA, WA
ZIP 98405

(253) 301-5050

VIRGINIA A STOWELL M.D.

Surgery

3124 S 19TH ST
STE C220
TACOMA, WA
ZIP 98405

(253) 301-5050

JAMES J SCHOPP M.D.

Surgery

3124 S 19TH ST
STE C220
TACOMA, WA
ZIP 98405

(253) 301-5050

JAMES MASON WILSON MD

Internal Medicine

3124 S 19TH ST
STE 140
TACOMA, WA
ZIP 98405

(253) 459-6510

DAVID COONS DO

Orthopaedic Surgery

(Sports Medicine)

3124 S 19TH ST
TACOMA, WA
ZIP 98405

(253) 459-7000

ALEXANDER K MIHALI MD

Internal Medicine

3124 S 19TH ST
STE 140
TACOMA, WA
ZIP 98405

(253) 459-6510

RICHARD E GILBERT MD

Family Medicine

3124 S 19TH ST
STE 110
TACOMA, WA
ZIP 98405

(253) 459-7500

DOUGLAS E SUTHERLAND M.D.

Urology

3124 S 19TH ST
STE 240
TACOMA, WA
ZIP 98405

(253) 301-5100

VIET H NGUYEN ARNP

Nurse Practitioner

3124 S 19TH ST
STE 140
TACOMA, WA
ZIP 98405

(253) 459-6510

HOSSEIN PAKZAD SEDIGH M.D

Orthopaedic Surgery

(Foot and Ankle Surgery)

3124 S 19TH ST
STE 340
TACOMA, WA
ZIP 98405

(253) 459-7000

ROBERT MICHAEL TAMURIAN MD

Orthopaedic Surgery

3124 S 19TH ST
STE 340
TACOMA, WA
ZIP 98405

(253) 459-7000

JOHN W RACETTE PA-C

Physician Assistant

3124 S 19TH ST
STE 340
TACOMA, WA
ZIP 98405

(253) 459-7000

JESSE LEE MIERZWIAK MD

Urology

3124 S 19TH ST
STE 320
TACOMA, WA
ZIP 98405

(253) 301-5100

KIMBERLEY ANN MARIN ARNP

Nurse Practitioner

3124 S 19TH ST
STE 340
TACOMA, WA
ZIP 98405

(253) 459-7000

JOHN ANTHONY VACCARO MD

Urology

3124 S 19TH ST
STE 320
TACOMA, WA
ZIP 98405

(253) 301-5100

LILI YAO M.D

Internal Medicine

3124 S 19TH ST
TACOMA, WA
ZIP 98405

(253) 459-6111

DANIEL C GINSBERG MD

Internal Medicine

3124 S 19TH ST
STE 140
TACOMA, WA
ZIP 98405

(253) 459-6510

RONAN MCGHIE MD

Student in an Organized Health Care Education/Training Program

3124 S 19TH ST
TACOMA, WA
ZIP 98405

(253) 403-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033305826, enumerated as an "individual" on September 14, 2007.

The provider is located at 3124 S 19TH ST SUITE 320 TACOMA, WA 98405 and the phone number is (253) 301-5100.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.

Deo Samson Perez is affiliated with: TACOMA GENERAL ALLENMORE HOSPITAL.