DR. JAMES TON DO
NPI 1326634528
Family Medicine in Mill Creek, WA
About Dr. James Ton Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES TON DO (NPI 1326634528) is an individual family medicine provider in Mill Creek, Washington, licensed in Washington (OP70115639) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Mid Valley Hospital, and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. James Ton Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show James Ton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mid Valley Hospital
Critical Access Hospitals · Omak, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILL CREEK, WA 98012
MILL CREEK, WA 98012
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 James Ton's NPI number?
The NPI number for James Ton is 1326634528. It was assigned to this individual provider in the NPPES registry on December 12, 2020.
Where is James Ton located?
James Ton practices at 1025 153rd St SE, Mill Creek, WA 98012. The listed phone number is (425) 338-4000.
What is James Ton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Ton enrolled in Medicare?
Yes. James Ton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Ton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Ton reassigns Medicare benefits to 2 organizations: Optum Care Washington PLLC (Everett, WA) and The Polyclinic PLLC (Seattle, WA). Each 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 James Ton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Ton accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list James Ton 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 James Ton affiliated with any hospitals?
According to CMS data, James Ton is affiliated with Mid Valley Hospital.
When was this NPI record last updated?
The NPPES record for James Ton was last updated on August 20, 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.
# Dr. James Ton, DO · NPI 1326634528
Family Medicine physician in Mill Creek, Washington. Individual provider, active in the CMS NPPES registry since December 12, 2020.
## Identity
- **NPI:** 1326634528 (Entity type: Individual)
- **Enumerated:** December 12, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP70115639 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 153RD ST SE, Mill Creek, WA 98012-4051
- **Phone:** (425) 338-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Optum Care Washington PLLC (NPI 1831186766, Everett, WA); The Polyclinic PLLC (NPI 1174594634, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326634528) · Data from the CMS NPPES public registry.