DR. HELAN LEE-GARRARD D.O., MPH
NPI 1255741997
Family Medicine in Kenmore, WA

Active since May 03, 2014PECOS EnrolledAccepts Medicare Assignment
77.23/100
CMS Quality Rating
18151 68TH AVE NE STE 100, KENMORE, WA 98028(425) 485-6561 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Sep 5, 2018 (2 updates tracked since 2018).

About Dr. Helan Lee-garrard D.o., Mph NPPES

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

DR. HELAN LEE-GARRARD D.O., MPH (NPI 1255741997) is an individual family medicine provider in Kenmore, Washington, licensed in Washington (OP60572196) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255741997
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HELAN LEE-GARRARDCredential: D.O., MPH
Location Address18151 68TH AVE NE STE 100Kenmore, WA 98028-2835
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (360) 793-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 3, 2014
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1255741997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP60572196
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18151 68TH AVE NE STE 100, Kenmore, WA 98028

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 and accepts Medicare assignment

Dr. Helan Lee-garrard D.o., Mph 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 ID1456668367
PECOS Enrollment IDI20150909002172
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98028 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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.

77.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.78
Promoting Interoperability100
Improvement Activities40
Cost29.34

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%202 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
96%23 patients4/55-star benchmark: 100%
Breast Cancer Screening
80%346 patients4/55-star benchmark: 93%
Cervical Cancer Screening
44%682 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
29%58 patients
Closing the Referral Loop: Receipt of Specialist Report
1%611 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
55%615 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
79%322 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
8%104 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%104 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%2,566 patients4/55-star benchmark: 100%
e-Prescribing
100%607 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
32%350 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%1,236 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
50%923 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
56%1,447 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 950 patients
Patients screened: 95% · 950 patients
40%42 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%557 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%302 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 379 patients
Patients totalRate: 17% · 379 patients
17%379 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Occupational Therapist (Hand)
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Family Medicine
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Nurse Practitioner (Psychiatric/Mental Health)
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Physical Therapist (Neurology)
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Family Medicine
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Occupational Therapist (Hand)
18151 68TH AVE NE STE 100
KENMORE, WA 98028
Physical Therapist
18151 68TH AVE NE STE 100
KENMORE, WA 98028

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 Helan Lee-garrard's NPI number?

The NPI number for Helan Lee-garrard is 1255741997. It was assigned to this individual provider in the NPPES registry on May 3, 2014.

Where is Helan Lee-garrard located?

Helan Lee-garrard practices at 18151 68th Ave NE Ste 100, Kenmore, WA 98028. The listed phone number is (425) 485-6561.

What is Helan Lee-garrard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Helan Lee-garrard enrolled in Medicare?

Yes. Helan Lee-garrard 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 Helan Lee-garrard accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Helan Lee-garrard 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 Helan Lee-garrard affiliated with any hospitals?

According to CMS data, Helan Lee-garrard is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Helan Lee-garrard was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.