DR. STEPHEN SUPOYO MD
NPI 1316441447
Family Medicine in Seattle, WA

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
9245 RAINIER AVE S, SEATTLE, WA 98118(206) 722-8444(206) 721-6310 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 12, 2025, Dec 8, 2020, Mar 22, 2018 (3 updates tracked since 2018).

About Dr. Stephen Supoyo Md NPPES

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

DR. STEPHEN SUPOYO MD (NPI 1316441447) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD61069893) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316441447
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN SUPOYOCredential: MD
Location Address9245 RAINIER AVE SSeattle, WA 98118-5569
Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712 · (206) 548-3114 · Fax (206) 962-2342
Fax(206) 721-6310
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1316441447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61069893
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License MD61069893 (WA)
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License MD61069893 (WA)
9245 RAINIER AVE S, Seattle, WA 98118

Secondary Practice Location 1

Location 17500 Seward Park Ave SSeattle, WA 98118-4256 · Phone (206) 725-8800

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. Stephen Supoyo 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 ID3678822079
PECOS Enrollment IDI20201214002434
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98118 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.

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.

Nurse Practitioner (Family)
9245 RAINIER AVE S
SEATTLE, WA 98118
Pharmacy (Clinic Pharmacy)
9245 RAINIER AVE S
SEATTLE, WA 98118
Dentist (General Practice)
9245 RAINIER AVE S
SEATTLE, WA 98118
Dentist
9245 RAINIER AVE S
SEATTLE, WA 98118
Counselor (Mental Health)
9245 RAINIER AVE S
SEATTLE, WA 98118
Nurse Practitioner (Family)
9245 RAINIER AVE S
SEATTLE, WA 98118
Counselor
9245 RAINIER AVE S
SEATTLE, WA 98118
Clinic/Center (Federally Qualified Health Center (FQHC))
9245 RAINIER AVE S
SEATTLE, WA 98118

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 Stephen Supoyo's NPI number?

The NPI number for Stephen Supoyo is 1316441447. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Stephen Supoyo located?

Stephen Supoyo practices at 9245 Rainier Ave S, Seattle, WA 98118. The listed phone number is (206) 722-8444.

What is Stephen Supoyo's specialty?

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

Is Stephen Supoyo enrolled in Medicare?

Yes. Stephen Supoyo 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 Stephen Supoyo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephen Supoyo 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 Stephen Supoyo was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.