GLENN A. PACIO
NPI 1255603874
Clinic/Center - Medical Specialty in University Place, WA
About Glenn A. Pacio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN A. PACIO (NPI 1255603874) is a healthcare organization registered as a medical specialty in University Place, Washington and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Glenn A Pacio, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glenn A. Pacio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenn A. Pacio, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D1069082
Orchard Medidcal Clinic · University Place, WAFrequently 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 Orchard Medical Clinic's NPI number?
The NPI number for Orchard Medical Clinic is 1255603874. It was assigned to this organization in the NPPES registry on January 27, 2012. The provider is also known as Glenn A. Pacio.
Where is Orchard Medical Clinic located?
Orchard Medical Clinic is located at 5320 Orchard St W, University Place, WA 98467. The listed phone number is (253) 474-7100.
What is Orchard Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Orchard Medical Clinic enrolled in Medicare?
Yes. Orchard Medical Clinic is registered in the Medicare PECOS enrollment system.
When is Orchard Medical Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Orchard Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Orchard Medical Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Orchard Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D1069082) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Orchard Medical Clinic accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Orchard Medical Clinic 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 Orchard Medical Clinic was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Glenn A. Pacio · NPI 1255603874
Medical Specialty organization in University Place, Washington. Organization record, active in the CMS NPPES registry since January 27, 2012.
## Identity
- **NPI:** 1255603874 (Entity type: Organization)
- **Enumerated:** January 27, 2012
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Legal business name:** Orchard Medical Clinic
- **Organization subpart:** Yes (part of Orchard Medical Clinic)
- **Authorized official:** Glenn Pacio, OWNER
## Practice location
- **Address:** 5320 ORCHARD ST W, University Place, WA 98467-3633
- **Phone:** (253) 474-7100 · **Fax:** (253) 474-2677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2012
- **Other identifiers:** Other 711938001 (WA); Medicaid 11155922 (WA); Other P00850060 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255603874) · Data from the CMS NPPES public registry.