MARY C PRICE
NPI 1073659108
Nurse Practitioner - Adult Health in Renton, WA

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
99.21/100
CMS Quality Rating
400 S 43RD ST, RENTON, WA 98055(425) 228-5228 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary C Price NPPES

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

MARY C PRICE (NPI 1073659108) is an individual adult health provider in Renton, Washington, licensed in Washington (AP30006253) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1073659108
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY C PRICE
Location Address400 S 43RD STRenton, WA 98055-5714
Mailing AddressPo Box 50150Bellevue, WA 98015-0150 · (425) 228-5228 · Fax (425) 228-5733
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 17, 2008
NPI 1073659108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in WA · AP30006253 Licensed in WA · RN00127832
400 S 43RD ST, Renton, WA 98055

Other Identifiers 3

Medicaid9637513WA
Medicare UPINP67025WA
Medicare PINAB32750WA

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

Mary C Price 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 ID9234021940
PECOS Enrollment IDI20101209000336
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 13

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 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.
422 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
314 services99 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
277 services90 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
85 services29 patients
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.
85 services47 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
72 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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.

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.

99.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Promoting Interoperability100
Improvement Activities40
Cost83.57

Reported Quality Measures

Breast Cancer Screening
55%73 patients3/55-star benchmark: 93%
Cervical Cancer Screening
24%70 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%64 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
29%161 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
88%104 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
4%67 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%67 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%2,051 patients4/55-star benchmark: 100%
e-Prescribing
100%51 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
56%245 patients3/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%44 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%394 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
11%324 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%906 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 92% · 279 patients
90%279 patients
Provide Patients Electronic Access to Their Health Information
100%155 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%171 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 244 patients
Patients totalRate: 18% · 244 patients
14%244 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers11 claims200 services$3.35 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers12 claims26 services$6.58 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers20 claims550 services$4.93 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers17 claims216 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers14 claims350 services$8.13 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
2 suppliers15 claims1,110 services$2.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
400 S 43RD ST
RENTON, WA 98055
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
Internal Medicine
400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055
Hospitalist
400 S 43RD ST
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
400 S 43RD ST
RENTON, WA 98055
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
Pharmacist
400 S 43RD ST
RENTON, WA 98055
Hospitalist
400 S 43RD ST
RENTON, WA 98055

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 Mary Price's NPI number?

The NPI number for Mary Price is 1073659108. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Mary Price located?

Mary Price practices at 400 S 43rd St, Renton, WA 98055. The listed phone number is (425) 228-5228.

What is Mary Price's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Price enrolled in Medicare?

Yes. Mary Price 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 Mary Price accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Price 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 Mary Price affiliated with any hospitals?

According to CMS data, Mary Price is affiliated with University Of Washington Medical Ctr, Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Price was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.