DR. SCOTT VAN APPLEDORN M.D.
NPI 1215923479
Urology in Kirkland, WA

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
11911 NE 132ND ST., SUITE 200, KIRKLAND, WA 98034(425) 899-5800(425) 899-5806 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Scott Van Appledorn M.d. NPPES

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

DR. SCOTT VAN APPLEDORN M.D. (NPI 1215923479) is an individual urology provider in Kirkland, Washington, licensed in Washington (MD60108844) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1999).

NPPES Registry Identity

NPI1215923479
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SCOTT VAN APPLEDORNCredential: M.D.
Location Address11911 NE 132ND ST., SUITE 200Kirkland, WA 98034
Mailing Address11911 Ne 132nd St., Suite 200Kirkland, WA 98034 · (425) 899-5800 · Fax (425) 899-5806
Fax(425) 899-5806
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1999
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJune 10, 2011
NPI 1215923479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in WA · MD60108844 Licensed in FL · ME86059
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11911 NE 132ND ST., Kirkland, WA 98034

Other Identifiers 3

Medicare ID-Type Unspecified28779ZFL
Medicare UPINI39566FL
Medicare PING8887670

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

Dr. Scott Van Appledorn 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 ID1052344066
PECOS Enrollment IDI20100111000738
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 15

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.
221 services181 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
218 services195 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
199 services149 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
135 services122 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.
119 services105 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
93 services81 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 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.91
Promoting Interoperability100
Improvement Activities40
Cost32.91

Reported Quality Measures

Breast Cancer Screening
87%23 patients4/55-star benchmark: 93%
Cervical Cancer Screening
18%22 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%414 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
48%849 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
78%496 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
17%108 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%108 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,860 patients4/55-star benchmark: 100%
e-Prescribing
100%96 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
38%756 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,225 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
24%1,075 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%944 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 422 patients
Patients screened: 94% · 422 patients
31%26 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%488 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%499 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 801 patients
Patients totalRate: 10% · 801 patients
8%801 patients4/55-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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims930 services$0.10 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
4 suppliers45 claims5,136 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers24 claims3,900 services$6.18 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 2

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

Urology
11911 NE 132ND ST., SUITE 200
KIRKLAND, WA 98034
Urology
11911 NE 132ND ST., SUITE 200
KIRKLAND, WA 98034

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 Scott Van Appledorn's NPI number?

The NPI number for Scott Van Appledorn is 1215923479. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Scott Van Appledorn located?

Scott Van Appledorn practices at 11911 NE 132nd St. Suite 200, Kirkland, WA 98034. The listed phone number is (425) 899-5800.

What is Scott Van Appledorn's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Scott Van Appledorn enrolled in Medicare?

Yes. Scott Van Appledorn 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 Scott Van Appledorn accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Scott Van Appledorn 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 Scott Van Appledorn affiliated with any hospitals?

According to CMS data, Scott Van Appledorn is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Van Appledorn was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.