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DR. SUPRIYA KELKAR MYSTKOWSKI MD
NPI 1235231929
Internal Medicine - Pulmonary Disease in Kirkland, WA

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.81/100
CMS Quality Rating
11521 NE 128TH ST STE 130, KIRKLAND, WA 98034(425) 899-4280(425) 899-4294 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Supriya Kelkar Mystkowski Md NPPES

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

DR. SUPRIYA KELKAR MYSTKOWSKI MD (NPI 1235231929) is an individual pulmonary disease provider in Kirkland, Washington, licensed in Washington (MD00039430) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Northwestern University Feinberg Medical School (1998).

NPPES Registry Identity

NPI1235231929
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SUPRIYA KELKAR MYSTKOWSKICredential: MD
Location Address11521 NE 128TH ST STE 130Kirkland, WA 98034-4317
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (425) 899-3292 · Fax (425) 899-3269
Phone(425) 899-4280
Fax(425) 899-4294
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1998
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1235231929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WA · MD00039430
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
11521 NE 128TH ST STE 130, Kirkland, WA 98034
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Other Names 1

Professional Name (2)Dr. Sue Kelkar Mystkowski Md

Other Identifiers 2

Medicaid8283822WA
Medicare PING8880787WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Dr. Supriya Kelkar Mystkowski 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 ID9537157524
PECOS Enrollment IDI20040506000640
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 5

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.
45 services45 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.
44 services38 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
36 services36 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.
33 services33 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
81%125 patients4/55-star benchmark: 93%
Cervical Cancer Screening
37%147 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
28%88 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
47%354 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
74%226 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
6%63 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%63 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%808 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%229 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%592 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
19%414 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%436 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 97% · 163 patients
95%163 patients
Provide Patients Electronic Access to Their Health Information
100%285 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%202 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 244 patients
Patients totalRate: 11% · 244 patients
10%244 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 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers261 claims261 services$33.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers93 claims93 services$72.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers84 claims192 services$27.80 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers113 claims594 services$16.40 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers105 claims535 services$12.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers241 claims241 services$48.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Supriya Mystkowski's NPI number?

The NPI number for Supriya Mystkowski is 1235231929. It was assigned to this individual provider in the NPPES registry on September 2, 2006. The provider is also known as Dr. Sue Kelkar Mystkowski MD.

Where is Supriya Mystkowski located?

Supriya Mystkowski practices at 11521 NE 128th St Ste 130, Kirkland, WA 98034. The listed phone number is (425) 899-4280.

What is Supriya Mystkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Supriya Mystkowski enrolled in Medicare?

Yes. Supriya Mystkowski 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 Supriya Mystkowski accept?

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

According to CMS data, Supriya Mystkowski is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Supriya Mystkowski was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.