THOMAS MODAD SOEPRONO M.D.
NPI 1245559467
Psychiatry & Neurology - Psychiatry in Seattle, WA

Q: What is Thomas Soeprono's NPI number?

The NPI number for Thomas Soeprono is 1245559467. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Q: What is Thomas Soeprono's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Soeprono was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 27, 2010PECOS EnrolledAccepts Medicare Assignment

93.09/100

CMS Quality Rating

1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195(206) 598-6195 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Thomas Modad Soeprono M.d. NPPES

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

THOMAS MODAD SOEPRONO M.D. (NPI 1245559467) is an individual psychiatry provider in Seattle, Washington, licensed in Washington (MD60475121) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Loma Linda University School Of Medicine (2010).

NPPES Registry Identity

NPI1245559467

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameTHOMAS MODAD SOEPRONOCredential: M.D.

Location Address1959 NE PACIFIC ST, BOX 356560Seattle, WA 98195-0001

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700

Phone(206) 598-6195

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2010

Enumeration DateMay 27, 2010

Last NPPES UpdateAugust 13, 2015

✔ NPI 1245559467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WA · MD60475121

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1959 NE PACIFIC ST, Seattle, WA 98195

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Other Identifiers 2

Medicaid1245559467WA

Medicare PIN8940699WA

Accepted Insurance

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

Thomas Modad Soeprono M.d. 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 ID3971814849

PECOS Enrollment IDI20150618001234

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 3

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

42 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.

34 services25 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

16 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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

$189.37 typical visit price

range $63.67 – $189.37

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

Most-billed visit code 99205

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.

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.

93.09/100

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

Scored through an Alternative Payment Model

Quality

73.95

Promoting Interoperability

100

Improvement Activities

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.

LEONIE A NEVILLE PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 598-4874

ALISA BETH KACHIKIS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195

King County (206) 598-4070

MS. MARY PATRICIA DODGE MS, OTR/L

Occupational Therapist

1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195

King County (206) 598-4830

RIKA SHIRAKAWA M.D.

Ophthalmology

1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195

King County (206) 558-9616

VEDA TSOI M.D.

Anesthesiology

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (801) 556-7628

KATHRYN TAMURA PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195

King County (206) 598-6060

DR. MARK ROBERT, MICHAEL KILGORE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195

King County (206) 598-1821

DR. SERKAN MEHMET SAHIN M.D.

Hospitalist

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 543-6420

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 Thomas Soeprono's NPI number?

The NPI number for Thomas Soeprono is 1245559467. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Thomas Soeprono located?

Thomas Soeprono practices at 1959 NE Pacific St Box 356560, Seattle, WA 98195. The listed phone number is (206) 598-6195.

What is Thomas Soeprono's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Soeprono enrolled in Medicare?

Yes. Thomas Soeprono 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 Thomas Soeprono accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Thomas Soeprono 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 Thomas Soeprono affiliated with any hospitals?

According to CMS data, Thomas Soeprono is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Thomas Soeprono was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.