PINKY AGARWAL MD
NPI 1245223296
Psychiatry & Neurology - Neurology in Kirkland, WA

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
93.67/100
CMS Quality Rating
12039 NE 128TH ST, SUITE 300, KIRKLAND, WA 98034(425) 899-3123(425) 899-3114 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pinky Agarwal Md NPPES

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

PINKY AGARWAL MD (NPI 1245223296) is an individual neurology provider in Kirkland, Washington, licensed in Washington (MD00047400) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1245223296
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePINKY AGARWALCredential: MD
Location Address12039 NE 128TH ST, SUITE 300Kirkland, WA 98034-3030
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (425) 899-3292 · Fax (425) 899-3269
Fax(425) 899-3114
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 24, 2005
Last NPPES UpdateJanuary 26, 2010
NPI 1245223296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WA · MD00047400
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License 41755 (CO)
12039 NE 128TH ST, Kirkland, WA 98034

Other Identifiers 6

Medicare UPINH97281
Medicare PING8865368WA
OtherP00447841WA · Medicare Railroad
Medicaid8480584WA
Medicaid52728528CO
Medicare ID-Type Unspecified515818CO

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

Pinky Agarwal 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 ID3072413939
PECOS Enrollment IDI20070612000711
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 6

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 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.
338 services156 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services30 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970
This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.
33 services17 patients
Injection of chemical for paralysis of salivary glands on both sides of mouth 64611
This procedure involves injecting a special chemical into both salivary glands in your mouth. The aim is to temporarily paralyze these glands, reducing saliva production. This could be necessary for various oral health conditions. It's typically a safe, outpatient procedure.
30 services13 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
27 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

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.

93.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.98
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
64%76 patients3/55-star benchmark: 93%
Cervical Cancer Screening
26%38 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%160 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
28%189 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
79%73 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%25 patients
Diabetes: Eye Exam
12%25 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%25 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,065 patients4/55-star benchmark: 100%
e-Prescribing
100%229 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
31%316 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%407 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
15%254 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
48%610 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 78% · 316 patients
77%316 patients
Provide Patients Electronic Access to Their Health Information
100%252 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%140 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 26% · 315 patients
Patients totalRate: 20% · 315 patients
6%315 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 4

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims336 services$35.14 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$13.61 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$13.90 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims308 services$167.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034
Psychologist (Clinical)
12039 NE 128TH ST, STE 200
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034
Registered Nurse (Medical-Surgical)
12039 NE 128TH ST
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, STE 300
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, 300
KIRKLAND, WA 98034
Physical Therapist (Neurology)
12039 NE 128TH ST
KIRKLAND, WA 98034
Physical Medicine & Rehabilitation
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034

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 Pinky Agarwal's NPI number?

The NPI number for Pinky Agarwal is 1245223296. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Pinky Agarwal located?

Pinky Agarwal practices at 12039 NE 128th St Suite 300, Kirkland, WA 98034. The listed phone number is (425) 899-3123.

What is Pinky Agarwal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pinky Agarwal enrolled in Medicare?

Yes. Pinky Agarwal 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 Pinky Agarwal accept?

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

According to CMS data, Pinky Agarwal is affiliated with University Of Washington Medical Ctr and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Pinky Agarwal was last updated on January 26, 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.