JOHN M ASTLE MD, PHD
NPI 1225324262
Pathology - Anatomic Pathology & Clinical Pathology in Everett, WA

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
3901 HOYT AVE, EVERETT, WA 98201(425) 303-3091 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2025, Jul 21, 2022, Jun 22, 2017 and 1 more (4 updates tracked since 2016).

About John M Astle Md, Phd NPPES

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

JOHN M ASTLE MD, PHD (NPI 1225324262) is an individual anatomic pathology & clinical pathology provider in Everett, Washington, licensed in Wisconsin (66858) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).

NPPES Registry Identity

NPI1225324262
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJOHN M ASTLECredential: MD, PHD
Location Address3901 HOYT AVEEverett, WA 98201-4918
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (206) 860-5414 · Fax (206) 720-8462
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1225324262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in WI · 66858✔ Licensed in PA · MD451651✔ Licensed in WA · MD61463665
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3901 HOYT AVE, Everett, WA 98201

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

John M Astle Md, Phd 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 ID3072806611
PECOS Enrollment IDI20250822000883
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Astle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group
Audiologist
1145 BROADWAY
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 911 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.

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.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Family Medicine
3901 HOYT AVE
EVERETT, WA 98201
Nurse Practitioner (Family)
3901 HOYT AVE
EVERETT, WA 98201
Pediatrics
3901 HOYT AVE
EVERETT, WA 98201
Internal Medicine (Interventional Cardiology)
3901 HOYT AVE
EVERETT, WA 98201
Pediatrics (Pediatric Cardiology)
3901 HOYT AVE
EVERETT, WA 98201
Family Medicine (Geriatric Medicine)
3901 HOYT AVE
EVERETT, WA 98201
Internal Medicine (Rheumatology)
3901 HOYT AVE
EVERETT, WA 98201
Nurse Practitioner
3901 HOYT 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 John Astle's NPI number?

The NPI number for John Astle is 1225324262. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is John Astle located?

John Astle practices at 3901 Hoyt Ave, Everett, WA 98201. The listed phone number is (425) 303-3091.

What is John Astle's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Astle enrolled in Medicare?

Yes. John Astle 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 John Astle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Astle reassigns Medicare benefits to 2 organizations: Optum Care Washington PLLC (Everett, WA) and The Polyclinic PLLC (Seattle, WA). 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 John Astle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Astle accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and WellSense Health Plan list John Astle 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 John Astle was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.