THE POLYCLINIC PLASTIC SURGERY CENTER
NPI 1073944039
Clinic/Center - Ambulatory Surgical in Seattle, WA
About The Polyclinic Plastic Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE POLYCLINIC PLASTIC SURGERY CENTER (NPI 1073944039) is a healthcare organization registered as an ambulatory surgical in Seattle, Washington and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Craig Pepin, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Polyclinic Plastic Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
908Medicare enrollment records show 908 clinicians reassign Medicare billing to The Polyclinic Plastic Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 350 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 908Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D2075838
The Polyclinic Plastic Surgery Center · Seattle, WACertificate of Compliance 50D0631667
The Polyclinic, Dba Optum Care Washington · Seattle, WAFrequently 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 The Polyclinic's NPI number?
The NPI number for The Polyclinic is 1073944039. It was assigned to this organization in the NPPES registry on December 2, 2013. The provider is also known as The Polyclinic Plastic Surgery Center.
Where is The Polyclinic located?
The Polyclinic is located at 1229 Madison St Suite 1660, Seattle, WA 98104. The listed phone number is (206) 860-5582.
What is The Polyclinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is The Polyclinic enrolled in Medicare?
Yes. The Polyclinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Polyclinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 908 clinicians in 54 Medicare specialties reassign their Medicare billing to The Polyclinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (171), Nurse Practitioner (162) and Diagnostic Radiology (97). Of these, 2 practice at this address and 350 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does The Polyclinic hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does The Polyclinic accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list The Polyclinic 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 The Polyclinic was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# The Polyclinic Plastic Surgery Center · NPI 1073944039
Ambulatory Surgical organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since December 2, 2013.
## Identity
- **NPI:** 1073944039 (Entity type: Organization)
- **Enumerated:** December 2, 2013
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** The Polyclinic
- **Organization subpart:** No
- **Authorized official:** Craig Pepin, PHYSICIAN/OWNER
## Practice location
- **Address:** 1229 MADISON ST, SUITE 1660, Seattle, WA 98104-3586
- **Phone:** (206) 860-5582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 908 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (171), Nurse Practitioner (162), Diagnostic Radiology (97); 2 practice at this address and 350 within 10 miles; [full list](https://npiprofile.com/npi/1073944039/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073944039) · Data from the CMS NPPES public registry.