MILITZA AUSMANAS M.D.
NPI 1184823403
Family Medicine in Sequim, WA

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
840 N 5TH AVE, SUITE 2100, SEQUIM, WA 98382(360) 582-2850(360) 582-2851 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2019, May 23, 2018, Mar 7, 2018 (3 updates tracked since 2018).

About Militza Ausmanas M.d. NPPES

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

MILITZA AUSMANAS M.D. (NPI 1184823403) is an individual family medicine provider in Sequim, Washington, licensed in Washington (MD60323387) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1184823403
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMILITZA AUSMANASCredential: M.D.
Location Address840 N 5TH AVE, SUITE 2100Sequim, WA 98382-3045
Mailing Address840 N 5th Ave, Suite 2100Sequim, WA 98382-3045 · (360) 582-2850 · Fax (360) 582-2851
Fax(360) 582-2851
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 17, 2007
Last NPPES UpdateAugust 14, 20193 updates tracked since enumeration
NPI 1184823403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD60323387 Licensed in WA · 60323387
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.

840 N 5TH AVE, Sequim, WA 98382

Other Identifiers 2

Medicaid202856WA
Other406866WA · Lab And Industries

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

Militza Ausmanas 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 ID6901054071
PECOS Enrollment IDI20130712000045
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 16

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.
409 services234 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
232 services190 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.
208 services147 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.
152 services152 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.
131 services131 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.
126 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98382 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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.78
Improvement Activities40
Cost59.46

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
83%133 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%190 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%34 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
20%146 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%146 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%357 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
54%367 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
8%243 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 82% · 148 patients
74%148 patients4/55-star benchmark: 98%
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 8

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
4 suppliers29 claims78 services$6.28 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,200 services$1.72 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$39.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$68.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims66 services$3.02 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
1 supplier12 claims12 services$19.50 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 9

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

Family Medicine
840 N 5TH AVE, STE 2100
SEQUIM, WA 98382
Internal Medicine
840 N 5TH AVE, STE 100
SEQUIM, WA 98382
Urology
840 N 5TH AVE
SEQUIM, WA 98382
Family Medicine
840 N 5TH AVE, STE 2100
SEQUIM, WA 98382
Family Medicine
840 N 5TH AVE, STE 1400
SEQUIM, WA 98382
Family Medicine
840 N 5TH AVE, STE 2100
SEQUIM, WA 98382
Nurse Practitioner
840 N 5TH AVE
SEQUIM, WA 98382
Nurse Practitioner (Adult Health)
840 N 5TH AVE, SUITE 1500
SEQUIM, WA 98382

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 Militza Ausmanas's NPI number?

The NPI number for Militza Ausmanas is 1184823403. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Militza Ausmanas located?

Militza Ausmanas practices at 840 N 5th Ave Suite 2100, Sequim, WA 98382. The listed phone number is (360) 582-2850.

What is Militza Ausmanas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Militza Ausmanas enrolled in Medicare?

Yes. Militza Ausmanas 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 Militza Ausmanas accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Militza Ausmanas 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.

Is Militza Ausmanas affiliated with any hospitals?

According to CMS data, Militza Ausmanas is affiliated with Harrison Medical Center, Olympic Medical Center and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Militza Ausmanas was last updated on August 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.