OPTUM - HELEN HOLM PUMPHREY SURGERY CENTER
NPI 1366154304
Clinic/Center - Ambulatory Surgical in Arlington, WA
About Optum - Helen Holm Pumphrey Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUM - HELEN HOLM PUMPHREY SURGERY CENTER (NPI 1366154304) is a healthcare organization registered as an ambulatory surgical in Arlington, Washington and active in the NPI registry since December 2022. The organization lists George Go, Board President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optum - Helen Holm Pumphrey Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
1,281Medicare enrollment records show 1,281 clinicians reassign Medicare billing to Optum - Helen Holm Pumphrey Surgery Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 115 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 59
Nearest to this location (20)
See all 1,281Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
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 Optum Care Washington PLLC's NPI number?
The NPI number for Optum Care Washington PLLC is 1366154304. It was assigned to this organization in the NPPES registry on December 21, 2022. The provider is also known as Optum - Helen Holm Pumphrey Surgery Center.
Where is Optum Care Washington PLLC located?
Optum Care Washington PLLC is located at 4011 172nd St NE, Arlington, WA 98223. The listed phone number is (360) 454-1900.
What is Optum Care Washington PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Optum Care Washington PLLC enrolled in Medicare?
Yes. Optum Care Washington PLLC is registered in the Medicare PECOS enrollment system.
When is Optum Care Washington PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Optum Care Washington PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,281 clinicians in 59 Medicare specialties reassign their Medicare billing to Optum Care Washington PLLC. A 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 the clinician's services. The largest specialties are Family Practice (240), Nurse Practitioner (224) and Internal Medicine (155). Of these, 7 practice at this address and 115 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Optum Care Washington PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Optum Care Washington PLLC 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 Optum Care Washington PLLC was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Optum - Helen Holm Pumphrey Surgery Center · NPI 1366154304
Ambulatory Surgical organization in Arlington, Washington. Organization record, active in the CMS NPPES registry since December 21, 2022.
## Identity
- **NPI:** 1366154304 (Entity type: Organization)
- **Enumerated:** December 21, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Optum Care Washington Pllc
- **Organization subpart:** Yes (part of Everett Physicians, Inc. P.s.)
- **Authorized official:** George Go, BOARD PRESIDENT
## Practice location
- **Address:** 4011 172ND ST NE, Arlington, WA 98223
- **Phone:** (360) 454-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,281 clinicians in 59 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (240), Nurse Practitioner (224), Internal Medicine (155); 7 practice at this address and 115 within 10 miles; [full list](https://npiprofile.com/npi/1366154304/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366154304) · Data from the CMS NPPES public registry.