DR. ANDREW THURMAN M.D.
NPI 1093863219
Family Medicine in Monroe, WA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

82.86/100

CMS Quality Rating

14841 179TH AVE SE STE 210, MONROE, WA 98272(360) 217-1155(360) 217-1154 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Andrew Thurman M.d. NPPES

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

DR. ANDREW THURMAN M.D. (NPI 1093863219) is an individual family medicine provider in Monroe, Washington, licensed in Washington (00037230) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of University Of California, Geffen School Of Medicine (1996).

NPPES Registry Identity

NPI1093863219

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANDREW THURMANCredential: M.D.

Location Address14841 179TH AVE SE STE 210Monroe, WA 98272-1127

Mailing Address14841 179th Ave Se Ste 210Monroe, WA 98272-1127 · (360) 217-1155 · Fax (360) 217-1154

Phone(360) 217-1155

Fax(360) 217-1154

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1996

Enumeration DateJanuary 5, 2007

Last NPPES UpdateAugust 25, 2021

NPPES CertifiedAugust 25, 2021

✔ NPI 1093863219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · 00037230

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14841 179TH AVE SE STE 210, Monroe, WA 98272

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Other Identifiers 1

Medicaid8222531WA

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. Andrew Thurman 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 ID941324800

PECOS Enrollment IDI20100830000067

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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

295 services164 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

105 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

82 services82 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 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.

19 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500084

Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County

Emergency services

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 98272 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

82.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.04

Promoting Interoperability

100

Improvement Activities

Cost

58.84

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%58 patients

Breast Cancer Screening

59%203 patients3/55-star benchmark: 93%

Cervical Cancer Screening

30%236 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

3%331 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

40%691 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

70%438 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

3%177 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

16%177 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%2,576 patients4/55-star benchmark: 100%

e-Prescribing

100%410 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

31%410 patients2/55-star benchmark: 100%

Functional Status Assessments for Heart Failure

0%28 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

36%1,103 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

62%824 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%1,073 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 831 patients

Patients screened: 100% · 831 patients

24%97 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%580 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

70%335 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 14% · 472 patients

Patients totalRate: 21% · 472 patients

21%472 patients2/55-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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers12 claims29 services$6.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$15.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$67.53 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 7

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

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