CLAY FISCUS PT, DPT
NPI 1255095733
Physical Therapist in Seattle, WA

Active since October 29, 2021Accepts Medicare Assignment
93.29/100
CMS Quality Rating
9501 5TH AVE NE, SEATTLE, WA 98115(206) 522-7141 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clay Fiscus Pt, Dpt NPPES

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

CLAY FISCUS PT, DPT (NPI 1255095733) is an individual physical therapist in Seattle, Washington, licensed in Washington (PT61190853) and active in the NPI registry since October 2021. He is a graduate of Creighton University School Of Medicine (2020).

NPPES Registry Identity

NPI1255095733
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCLAY FISCUSCredential: PT, DPT
Location Address9501 5TH AVE NESeattle, WA 98115-2108
Mailing Address27500 102nd Ave Nw Ste 1Stanwood, WA 98292-8092
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2020
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1255095733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WA · PT61190853
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9501 5TH AVE NE, Seattle, WA 98115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clay Fiscus Pt, Dpt 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 ID4486044955
PECOS Enrollment IDI20211124001848

Medicare Billing Reassignments

3

Medicare enrollment records show Clay Fiscus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
11521 NE 128TH ST, STE 100
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
Physical Therapist
13555 SE 36TH ST STE 100
Bellevue, WA 98006
  • Reassigned Medicare billing, Washington enrollment
  • 286 clinicians in this Medicare group
Physical Therapy
27500 102ND AVE NW, STE 1
Stanwood, WA 98292
  • Reassigned Medicare billing, Washington enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

93.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.11
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physical Therapy Assistant
9501 5TH AVE NE
SEATTLE, WA 98115
Podiatrist
9501 5TH AVE NE
SEATTLE, WA 98115
Podiatrist
9501 5TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9501 5TH AVE NE
SEATTLE, WA 98115
Podiatrist
9501 5TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9501 5TH AVE NE
SEATTLE, WA 98115
Podiatrist
9501 5TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9501 5TH AVE NE
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 Clay Fiscus's NPI number?

The NPI number for Clay Fiscus is 1255095733. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Clay Fiscus located?

Clay Fiscus practices at 9501 5th Ave NE, Seattle, WA 98115. The listed phone number is (206) 522-7141.

What is Clay Fiscus's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Clay Fiscus enrolled in Medicare?

Yes. Clay Fiscus 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.

Which organizations bill Medicare for Clay Fiscus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clay Fiscus reassigns Medicare benefits to 3 organizations: King County Public Hospital District No 2 (Kirkland, WA), Washington Luna Care Physical Therapy LLC (Bellevue, WA) and Nspt, Inc. (Stanwood, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clay Fiscus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clay Fiscus accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Clay Fiscus 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 Clay Fiscus was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.