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DR. KIM WADSWORTH DO
NPI 1255823654
Family Medicine in Olympia, WA

Active since May 31, 2018Opted out of Medicare · through Dec 29, 2027
405 BLACK HILLS LN SW STE B2, OLYMPIA, WA 98502(360) 688-1151 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kim Wadsworth Do NPPES

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

DR. KIM WADSWORTH DO (NPI 1255823654) is an individual family medicine provider in Olympia, Washington, licensed in Washington (OP61075127) and active in the NPI registry since May 2018. She has opted out of Medicare through December 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255823654
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIM WADSWORTHCredential: DO
Location Address405 BLACK HILLS LN SW STE B2Olympia, WA 98502-8661
Mailing AddressPo Box 13082Olympia, WA 98508-3082 · (360) 688-1151 · Fax (360) 282-0738
Phone(360) 688-1151
Sole ProprietorYes
Enumeration DateMay 31, 2018
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1255823654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · OP61075127✔ Licensed in WA · OL60864834
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.
405 BLACK HILLS LN SW STE B2, Olympia, WA 98502
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Other Names 1

Former Name (1)Kim Ha

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kim Wadsworth Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2021 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2021
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES

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

MARIA C HUANG MD
Pediatrics
405 BLACK HILLS LN SW STE B2
OLYMPIA, WA 98502
Thurston County (360) 472-2772

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 Kim Wadsworth's NPI number?

The NPI number for Kim Wadsworth is 1255823654. It was assigned to this individual provider in the NPPES registry on May 31, 2018. The provider is also known as Kim Ha.

Where is Kim Wadsworth located?

Kim Wadsworth practices at 405 Black Hills Ln SW Ste B2, Olympia, WA 98502. The listed phone number is (360) 688-1151.

What is Kim Wadsworth's specialty?

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

Is Kim Wadsworth enrolled in Medicare?

No. Kim Wadsworth has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kim Wadsworth was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.