KYLE PINE
NPI 1225601669
Physician Assistant in Olympia, WA

Q: What is Kyle Pine's NPI number?

The NPI number for Kyle Pine is 1225601669. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Q: What is Kyle Pine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Pine was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment

88.48/100

CMS Quality Rating

3901 CAPITAL MALL DR SW STE A, OLYMPIA, WA 98502(206) 616-4001 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Jul 22, 2021 (2 updates tracked since 2021).

On this page

About Kyle Pine NPPES

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

KYLE PINE (NPI 1225601669) is an individual physician assistant in Olympia, Washington, licensed in Washington (1225601669) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1225601669

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE PINE

Location Address3901 CAPITAL MALL DR SW STE AOlympia, WA 98502-8654

Mailing Address3901 Capital Mall Dr Sw Ste AOlympia, WA 98502-8654

Phone(206) 616-4001

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022

Enumeration DateJuly 22, 2021

Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1225601669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · 1225601669

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3901 CAPITAL MALL DR SW STE A, Olympia, WA 98502

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kyle Pine 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 ID6608244892

PECOS Enrollment IDI20221118001823

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 14

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 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.

375 services299 patients

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.

283 services220 patients

X-ray of entire middle and lower spine, minimum of 6 views 72084

This procedure involves taking a series of X-ray images, at least six, of your middle and lower spine. It helps to identify any abnormalities or issues such as fractures, infections, or tumors. You'll be asked to stay still while the machine captures the images. It's quick and painless.

167 services167 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

91 services77 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

69 services61 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

68 services68 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

54 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

36 services18 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

36 services32 patients

X-ray of entire middle and lower spine, 4-5 views 72083

This procedure involves taking multiple images of your middle and lower spine using X-rays. These X-rays help to visualize the bones and surrounding tissues, aiding in the diagnosis of conditions such as arthritis, fractures, or disc problems. It's a quick and painless process.

30 services30 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

22 services20 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500031

Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County

Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500139

Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County

Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501304

Location600 East Main StreetElma, WA 98541 · Grays Harbor County

Emergency services

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501336

Location901 Mt View DriveShelton, WA 98584 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

88.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.11

Promoting Interoperability

100

Improvement Activities

Cost

86.5

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.

KALEY A. CAPITANO DO

Family Medicine