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DR. CARL NEIL EKMAN III O.D.
NPI 1174837579
Optometrist in Everett, WA

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
10217 19TH AVE SE STE 102, EVERETT, WA 98208(253) 169-4004(253) 168-8204 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2019, Mar 17, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Dr. Carl Neil Ekman Iii O.d. NPPES

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

DR. CARL NEIL EKMAN III O.D. (NPI 1174837579) is an individual optometrist in Everett, Washington, licensed in Washington (60172882) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2010).

NPPES Registry Identity

NPI1174837579
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARL NEIL EKMAN IIICredential: O.D.
Location Address10217 19TH AVE SE STE 102Everett, WA 98208-4266
Mailing Address10217 19th Ave Se Ste 102Everett, WA 98208-4266 · (253) 169-4004 · Fax (253) 168-8204
Phone(253) 169-4004
Fax(253) 168-8204
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2010
Enumeration DateJuly 28, 2010
Last NPPES UpdateNovember 29, 20233 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1174837579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WA · 60172882✔ Licensed in AZ · 2236
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
10217 19TH AVE SE STE 102, Everett, WA 98208
Open in Google Maps ↗

Other Identifiers 1

Medicaid372548AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Carl Neil Ekman Iii O.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 ID9638365794
PECOS Enrollment IDI20101201000552
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 3

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.
27 services21 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.
25 services17 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. MEAGAN-RHOSE ABANTO OD
Optometrist
10217 19TH AVE SE STE 102
EVERETT, WA 98208
Snohomish County (425) 316-9400
SIMRIT SANDHU OD
Optometrist
10217 19TH AVE SE STE 102
EVERETT, WA 98208
Snohomish County (425) 316-9400
DR. ROGER WILLIAM HALL O.D.
Optometrist
10217 19TH AVE SE STE 102
EVERETT, WA 98208
Snohomish County (425) 316-9400

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 Carl Ekman's NPI number?

The NPI number for Carl Ekman is 1174837579. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Carl Ekman located?

Carl Ekman practices at 10217 19th Ave SE Ste 102, Everett, WA 98208. The listed phone number is (253) 169-4004.

What is Carl Ekman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Carl Ekman enrolled in Medicare?

Yes. Carl Ekman 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 Carl Ekman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, PacificSource Health Plans and Providence Health Plan list Carl Ekman 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 Carl Ekman was last updated on November 29, 2023. 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.