DR. CARL NEIL EKMAN III O.D.
NPI 1174837579
Optometrist in Everett, WA
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carl Ekman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98373
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kyle Sexton Od LLC
- 13 clinicians in this Medicare group
Kingman, AZ 86401
- Reassigned Medicare billing, Arizona enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Carl Ekman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Ekman reassigns Medicare benefits to 2 organizations: Kyle Sexton, O.D., LLC (Puyallup, WA) and Southwestern Eye Center Ltd (Kingman, AZ). Each 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 Carl Ekman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Ekman accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers 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.
# Dr. Carl Neil Ekman III, O.D. · NPI 1174837579
Optometrist provider in Everett, Washington. Individual provider, active in the CMS NPPES registry since July 28, 2010.
## Identity
- **NPI:** 1174837579 (Entity type: Individual)
- **Enumerated:** July 28, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 60172882 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 10217 19TH AVE SE STE 102, Everett, WA 98208-4266
- **Phone:** (253) 169-4004 · **Fax:** (253) 168-8204
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kyle Sexton, O.D., LLC (NPI 1972778009, Puyallup, WA); Southwestern Eye Center Ltd (NPI 1215983135, Kingman, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2010
## Record status
- **NPPES last updated:** November 29, 2023
- **Other identifiers:** Medicaid 372548 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1174837579) · Data from the CMS NPPES public registry.