LYLE T. CALCAMUGGIO MD
NPI 1255331922
Obstetrics & Gynecology in Lakewood, WA

Q: What is Lyle Calcamuggio's NPI number?

The NPI number for Lyle Calcamuggio is 1255331922. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Lyle Calcamuggio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lyle Calcamuggio was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 26, 2005PECOS EnrolledAccepts Medicare Assignment

11311 BRIDGEPORT WAY SW, STE 302, LAKEWOOD, WA 98499(253) 985-2920(253) 985-6812 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lyle T. Calcamuggio Md NPPES

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

LYLE T. CALCAMUGGIO MD (NPI 1255331922) is an individual obstetrics & gynecology provider in Lakewood, Washington, licensed in Washington (MD60209694) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Medical College Of Ohio (1989).

NPPES Registry Identity

NPI1255331922

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameLYLE T. CALCAMUGGIOCredential: MD

Location Address11311 BRIDGEPORT WAY SW, STE 302Lakewood, WA 98499-3071

Mailing Address11311 Bridgeport Way Sw, Ste 302Lakewood, WA 98499-3071 · (253) 985-2920 · Fax (253) 985-6812

Phone(253) 985-2920

Fax(253) 985-6812

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1989

Enumeration DateJuly 26, 2005

Last NPPES UpdateOctober 13, 2015

✔ NPI 1255331922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WA · MD60209694✔ Licensed in OH · 35060887

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11311 BRIDGEPORT WAY SW, Lakewood, WA 98499

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Other Identifiers 10

Other000000244956OH · Anthem

Other01981OH · Paramount

Other160060036OH · Rrmc

Medicaid0933986OH

Medicare UPINF62035

Medicare PING8926726WA

Other0301634WA · State L&i

Medicare PINCA0743744

Other13-50420OH · Uhc

Other4557213OH · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Lyle T. Calcamuggio 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 ID2264501451

PECOS Enrollment IDI20110428000428

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.

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 20

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

FRANCISCAN MEDICAL GROUP

Orthopaedic Surgery (Sports Medicine)

11311 BRIDGEPORT WAY SW, STE 205
LAKEWOOD, WA 98499

Pierce County (253) 985-2744

FRANCISCAN MEDICAL GROUP

Family Medicine

11311 BRIDGEPORT WAY SW, STE 100
LAKEWOOD, WA 98499

Pierce County (253) 581-6688

THOMAS M BAKER M.D.

Internal Medicine (Hematology & Oncology)

11311 BRIDGEPORT WAY SW, SUITE 304
LAKEWOOD, WA 98499

Pierce County (253) 983-1977

SONG OBGYN

Obstetrics & Gynecology

11311 BRIDGEPORT WAY SW, #302
LAKEWOOD, WA 98499

Pierce County (253) 581-4696

DR. STEPHEN F OU D.O.

Orthopaedic Surgery

11311 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499

Pierce County (253) 985-2733

FRANCISCAN MEDICAL GROUP

Neurological Surgery

11311 BRIDGEPORT WAY SW, STE 301
LAKEWOOD, WA 98499

Pierce County (253) 512-2744

FRANCISCAN HEALTH SYSTEM

Registered Nurse

11311 BRIDGEPORT WAY SW, SUITE 300
LAKEWOOD, WA 98499

Pierce County (253) 985-6790

FRANCISCAN MEDICAL GROUP

Pediatrics

11311 BRIDGEPORT WAY SW, STE 309
LAKEWOOD, WA 98499

Pierce County (253) 779-6215

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 Lyle Calcamuggio's NPI number?

The NPI number for Lyle Calcamuggio is 1255331922. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Lyle Calcamuggio located?

Lyle Calcamuggio practices at 11311 Bridgeport Way SW Ste 302, Lakewood, WA 98499. The listed phone number is (253) 985-2920.

What is Lyle Calcamuggio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lyle Calcamuggio enrolled in Medicare?

Yes. Lyle Calcamuggio 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 Lyle Calcamuggio accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lyle Calcamuggio 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 Lyle Calcamuggio affiliated with any hospitals?

According to CMS data, Lyle Calcamuggio is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Lyle Calcamuggio was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.