DEAN KIRK DOUGLAS PA-C
NPI 1053424333
Physician Assistant - Surgical in Tacoma, WA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1112 6TH AVE, STE 300, TACOMA, WA 98405(253) 272-2224(253) 572-4624 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dean Kirk Douglas Pa-c NPPES

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

DEAN KIRK DOUGLAS PA-C (NPI 1053424333) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA10005076) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053424333
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDEAN KIRK DOUGLASCredential: PA-C
Location Address1112 6TH AVE, STE 300Tacoma, WA 98405-4040
Mailing Address1112 6th Ave, Ste 300Tacoma, WA 98405-4040 · (253) 272-2224 · Fax (253) 572-4624
Fax(253) 572-4624
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 17, 2006
Last NPPES UpdateNovember 10, 2010
NPI 1053424333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA10005076
1112 6TH AVE, Tacoma, WA 98405

Other Identifiers 5

Other0214034WA · State L&i
Medicaid8466047WA
OtherP00354460WA · Medicare Railroad
Other8942898WA · State Crime Victims
Medicare PING8862115WA

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

Dean Kirk Douglas Pa-c 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 ID2062410137
PECOS Enrollment IDI20171019001131
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
150 services84 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
72 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
35 services34 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services19 patients

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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
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.

Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Pharmacy (Community/Retail Pharmacy)
1112 6TH AVE, STE 101
TACOMA, WA 98405
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Clinic/Center (Endoscopy)
1112 6TH AVE, 200
TACOMA, WA 98405
Nurse Practitioner (Family)
1112 6TH AVE
TACOMA, WA 98405
Clinic/Center
1112 6TH AVE, SUITE 100
TACOMA, WA 98405
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405

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 Dean Douglas's NPI number?

The NPI number for Dean Douglas is 1053424333. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Dean Douglas located?

Dean Douglas practices at 1112 6th Ave Ste 300, Tacoma, WA 98405. The listed phone number is (253) 272-2224.

What is Dean Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dean Douglas enrolled in Medicare?

Yes. Dean Douglas 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 Dean Douglas accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and PacificSource Health Plans list Dean Douglas 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 Dean Douglas was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.