DR. PHILIP A WALCZAK DDS
NPI 1245801174
Dentist - General Practice in Seattle, WA

Active since July 01, 2021PECOS Enrolled
9730 3RD AVE NE STE 105, SEATTLE, WA 98115(206) 526-1985(206) 526-0466 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Feb 10, 2022, Jul 2, 2021 (3 updates tracked since 2021).

About Dr. Philip A Walczak Dds NPPES

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

DR. PHILIP A WALCZAK DDS (NPI 1245801174) is an individual general practice provider in Seattle, Washington, licensed in Washington (DE61157550) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1245801174
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP A WALCZAKCredential: DDS
Location Address9730 3RD AVE NE STE 105Seattle, WA 98115-2023
Mailing Address9730 3rd Ave Ne Ste 105Seattle, WA 98115-2023 · (425) 350-8479
Fax(206) 526-0466
Sole ProprietorYes
Enumeration DateJuly 1, 2021
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1245801174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE61157550
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9730 3RD AVE NE STE 105, Seattle, WA 98115

Secondary Practice Location 1

Location 11424 BroadwayEverett, WA 98201-1720 · Phone (425) 789-2000

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 (PECOS)

Dr. Philip A Walczak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98115 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.

Other Providers at the Same Location NPPES 2

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

Dentist
9730 3RD AVE NE STE 105
SEATTLE, WA 98115
Dentist (General Practice)
9730 3RD AVE NE STE 105
SEATTLE, WA 98115

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 Philip Walczak's NPI number?

The NPI number for Philip Walczak is 1245801174. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Philip Walczak located?

Philip Walczak practices at 9730 3rd Ave NE Ste 105, Seattle, WA 98115. The listed phone number is (206) 526-1985.

What is Philip Walczak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Philip Walczak enrolled in Medicare?

Yes. Philip Walczak is registered in the Medicare PECOS enrollment system.

What insurance does Philip Walczak accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 6 other insurers list Philip Walczak 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.

When was this NPI record last updated?

The NPPES record for Philip Walczak was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.