MARIA JOSE CEFALU PA C
NPI 1073714978
Physician Assistant in Seattle, WA

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 288-1000 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Jose Cefalu Pa C NPPES

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

MARIA JOSE CEFALU PA C (NPI 1073714978) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA10003706) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1073714978
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA JOSE CEFALUCredential: PA C
Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 30, 2010
NPI 1073714978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003706
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
825 EASTLAKE AVE E, Seattle, WA 98109

Other Names 1

Professional Name (2)Maria Jose Verdugo

Other Identifiers 4

Medicare UPINP37713WA
Medicaid8151458WA
Medicare ID-Type UnspecifiedAB23638WA · Uw Physicians
Other970023176WA · Rail Road Medicare

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

Maria Jose Cefalu 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 ID8921293770
PECOS Enrollment IDI20101108000002
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

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.
38 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
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.

Internal Medicine (Hematology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Pathology (Anatomic Pathology & Clinical Pathology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Pediatrics)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Internal Medicine (Medical Oncology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Surgery
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Women's Health)
825 EASTLAKE AVE E
SEATTLE, WA 98109

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 Maria Cefalu's NPI number?

The NPI number for Maria Cefalu is 1073714978. It was assigned to this individual provider in the NPPES registry on May 29, 2007. The provider is also known as Maria Jose Verdugo.

Where is Maria Cefalu located?

Maria Cefalu practices at 825 Eastlake Ave E, Seattle, WA 98109. The listed phone number is (206) 288-1000.

What is Maria Cefalu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Cefalu enrolled in Medicare?

Yes. Maria Cefalu 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 Maria Cefalu accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Maria Cefalu 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 Maria Cefalu was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.