KAREN HERTZOG PAC
NPI 1225756612
Physician Assistant in Burien, WA

Q: What is Karen Hertzog's NPI number?

The NPI number for Karen Hertzog is 1225756612. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Karen Hertzog'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 Karen Hertzog was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

16110 8TH AVE SW STE A2, BURIEN, WA 98166(206) 246-1012(206) 242-4437 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Aug 22, 2022 (2 updates tracked since 2022).

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About Karen Hertzog Pac NPPES

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

KAREN HERTZOG PAC (NPI 1225756612) is an individual physician assistant in Burien, Washington, licensed in Washington (PA61599872) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225756612

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAREN HERTZOGCredential: PAC

Location Address16110 8TH AVE SW STE A2Burien, WA 98166-2962

Mailing Address16110 8th Ave Sw Ste A2Burien, WA 98166-2962 · (206) 246-1012 · Fax (206) 242-4437

Phone(206) 246-1012

Fax(206) 242-4437

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 22, 2022

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1225756612 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 · PA61599872

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.

16110 8TH AVE SW STE A2, Burien, WA 98166

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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

Karen Hertzog Pac 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 ID4183151186

PECOS Enrollment IDI20250102000954

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.

Hospital Affiliations CMS Care Compare 2

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

Highline Medical Center

Acute Care Hospitals · Burien, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500011

Location16251 Sylvester Road SWBurien, WA 98166 · King County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 5

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

SARAVANASUNDARAM LAKSHUMANAN MD

Hospitalist