KAREN CLAIRE PALALAY
NPI 1376628198
Physician Assistant in Auburn, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
923 AUBURN WAY N, AUBURN, WA 98002(253) 333-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Claire Palalay NPPES

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

KAREN CLAIRE PALALAY (NPI 1376628198) is an individual physician assistant in Auburn, Washington, licensed in Washington (PA10003643) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1376628198
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN CLAIRE PALALAY
Location Address923 AUBURN WAY NAuburn, WA 98002-4117
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376628198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10003643
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

923 AUBURN WAY N, Auburn, WA 98002

Other Identifiers 4

Medicaid8356453WA
Medicare UPINP87479
Other134Internal Id-motor Vehicle Id
Medicare ID-Type UnspecifiedAB36771

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

Karen Claire Palalay 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 ID6406835602
PECOS Enrollment IDI20040720000092
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98002 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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Psychologist
923 AUBURN WAY N
AUBURN, WA 98002
Student in an Organized Health Care Education/Training Program
923 AUBURN WAY N
AUBURN, WA 98002
Psychologist
923 AUBURN WAY N
AUBURN, WA 98002
Student in an Organized Health Care Education/Training Program
923 AUBURN WAY N
AUBURN, WA 98002
Student in an Organized Health Care Education/Training Program
923 AUBURN WAY N
AUBURN, WA 98002
Family Medicine
923 AUBURN WAY N
AUBURN, WA 98002
Nurse Practitioner
923 AUBURN WAY N
AUBURN, WA 98002
Family Medicine
923 AUBURN WAY N
AUBURN, WA 98002

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 Karen Palalay's NPI number?

The NPI number for Karen Palalay is 1376628198. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Karen Palalay located?

Karen Palalay practices at 923 Auburn Way N, Auburn, WA 98002. The listed phone number is (253) 333-9000.

What is Karen Palalay's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karen Palalay enrolled in Medicare?

Yes. Karen Palalay 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 Karen Palalay accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Karen Palalay 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 Karen Palalay was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.