JAMES C TSAI MD
NPI 1225149172
Internal Medicine in Everett, WA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1321 COLBY AVE, MEDICAL STAFF OFFICE, EVERETT, WA 98201(425) 261-2000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Dec 17, 2019 (2 updates tracked since 2019).

About James C Tsai Md NPPES

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

JAMES C TSAI MD (NPI 1225149172) is an individual internal medicine provider in Everett, Washington, licensed in Washington (MD00046675) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1225149172
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES C TSAICredential: MD
Location Address1321 COLBY AVE, MEDICAL STAFF OFFICEEverett, WA 98201-1665
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-2455
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2004
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1225149172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00046675
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License MD00046675 (WA)
1321 COLBY AVE, Everett, WA 98201

Secondary Practice Location 1

Location 13901 Hoyt AveEverett, WA 98201-4918 · Phone (425) 259-0966

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

James C Tsai Md 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 ID941392484
PECOS Enrollment IDI20071015000469
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
282 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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
$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.

Other Providers at the Same Location NPPES 20

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

Surgery (Trauma Surgery)
1321 COLBY AVE
EVERETT, WA 98201
Radiology (Diagnostic Radiology)
1321 COLBY AVE
EVERETT, WA 98201
Internal Medicine
1321 COLBY AVE
EVERETT, WA 98201
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Pharmacy (Community/Retail Pharmacy)
1321 COLBY AVE
EVERETT, WA 98201
Occupational Therapist
1321 COLBY AVE
EVERETT, WA 98201
Emergency Medicine
1321 COLBY AVE
EVERETT, WA 98201
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201

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 James Tsai's NPI number?

The NPI number for James Tsai is 1225149172. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Tsai located?

James Tsai practices at 1321 Colby Ave Medical Staff Office, Everett, WA 98201. The listed phone number is (425) 261-2000.

What is James Tsai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Tsai enrolled in Medicare?

Yes. James Tsai 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 James Tsai accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Tsai 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 James Tsai affiliated with any hospitals?

According to CMS data, James Tsai is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for James Tsai was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.