MICHAEL STEPHEN CHISUM MD
NPI 1265963771
Surgery in Issaquah, WA

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 98029(425) 313-7124(425) 313-7072 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 1, 2022, Mar 26, 2017 (2 updates tracked since 2017).

About Michael Stephen Chisum Md NPPES

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

MICHAEL STEPHEN CHISUM MD (NPI 1265963771) is an individual surgery provider in Issaquah, Washington, licensed in Washington (MD61170311) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of University Of Florida College Of Medicine (2017).

NPPES Registry Identity

NPI1265963771
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL STEPHEN CHISUMCredential: MD
Location Address751 NE BLAKELY DR STE 4020Issaquah, WA 98029-6201
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(425) 313-7072
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2017
Enumeration DateMarch 26, 2017
Last NPPES UpdateDecember 1, 20222 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1265963771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD61170311
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

751 NE BLAKELY DR STE 4020, Issaquah, WA 98029

Other Identifiers 1

Medicaid2084042WA

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

Michael Stephen Chisum 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 ID6204107550
PECOS Enrollment IDI20220823002875
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98029 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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Physician Assistant (Surgical)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Physician Assistant (Surgical)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Physician Assistant (Surgical)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Nurse Practitioner
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Nurse Practitioner (Acute Care)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Physician Assistant (Surgical)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Psychiatry & Neurology (Neurology)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029
Physician Assistant (Surgical)
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA 98029

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 Michael Chisum's NPI number?

The NPI number for Michael Chisum is 1265963771. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Where is Michael Chisum located?

Michael Chisum practices at 751 NE Blakely Dr Ste 4020, Issaquah, WA 98029. The listed phone number is (425) 313-7124.

What is Michael Chisum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Chisum enrolled in Medicare?

Yes. Michael Chisum 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 Michael Chisum accept?

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

According to CMS data, Michael Chisum is affiliated with Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Michael Chisum was last updated on December 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.