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DR. OLIVIA M SEMENTI M.D.
NPI 1063521128
Obstetrics & Gynecology in Spokane Valley, WA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1415 N HOUK RD, SUITE A, SPOKANE VALLEY, WA 99216(509) 924-1990 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Olivia M Sementi M.d. NPPES

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

DR. OLIVIA M SEMENTI M.D. (NPI 1063521128) is an individual obstetrics & gynecology provider in Spokane Valley, Washington, licensed in Washington (MD 60095694) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2005).

NPPES Registry Identity

NPI1063521128
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. OLIVIA M SEMENTICredential: M.D.
Location Address1415 N HOUK RD, SUITE ASpokane Valley, WA 99216-1043
Mailing Address1415 N Houk Rd, Suite ASpokane Valley, WA 99216-1043 · (509) 924-1990
Phone(509) 924-1990
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2005
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1063521128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · MD 60095694
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1415 N HOUK RD, Spokane Valley, WA 99216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Olivia M Sementi M.d. 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 ID7416002407
PECOS Enrollment IDI20090826000790
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
79%100 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
86%515 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%503 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 447 patients
Patients tobacco: 7% · 29 patients
83%447 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BYRON J. HUMBLE D.O.
Orthopaedic Surgery
1415 N HOUK RD, SUITE D
SPOKANE VALLEY, WA 99216
Spokane County (509) 838-2531
GENEVIEVE LYNN WIMBERLEY MPAS, PA-C
Physician Assistant
1415 N HOUK RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1990
CAROL L HATHAWAY MD, FACS, P.S.
Specialist
1415 N HOUK RD, STE B
SPOKANE VALLEY, WA 99216
Spokane County (509) 921-9938
ROCKWOOD CLINIC PS
Durable Medical Equipment & Medical Supplies
1415 N HOUK RD, SUITE F
SPOKANE VALLEY, WA 99216
Spokane County (509) 755-5560
MR. DENNIS S FRERICHS PA-C
Physician Assistant (Surgical)
1415 N HOUK RD, SUITE D
SPOKANE VALLEY, WA 99216
Spokane County (509) 838-2531
DR. TIMOTHY MANSON M.D.
Family Medicine (Sports Medicine)
1415 N HOUK RD, STE D
SPOKANE VALLEY, WA 99216
Spokane County (509) 838-2531
MRS. KALI ANN ARTHURS PA-C
Physician Assistant
1415 N HOUK RD, SUITE A
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1990

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 Olivia Sementi's NPI number?

The NPI number for Olivia Sementi is 1063521128. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Olivia Sementi located?

Olivia Sementi practices at 1415 N Houk Rd Suite A, Spokane Valley, WA 99216. The listed phone number is (509) 924-1990.

What is Olivia Sementi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Olivia Sementi enrolled in Medicare?

Yes. Olivia Sementi 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 Olivia Sementi accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Olivia Sementi 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 Olivia Sementi was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.