PROLIANCE ORTHOPEDIC ASSOCIATES
NPI 1417512021
Orthopaedic Surgery in Auburn, WA
About Proliance Orthopedic Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROLIANCE ORTHOPEDIC ASSOCIATES (NPI 1417512021) is a healthcare organization registered as an orthopaedic surgery in Auburn, Washington and active in the NPI registry since May 2019. The organization lists Laura Kleisle, Chief Risk Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Other Names 1
Group Practice 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)
Proliance Orthopedic Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
589Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Orthopedic Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 589Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories Proliance Orthopedic Associates carries, from the Medicare DMEPOS supplier directory.
Proliance Orthopedic Associates
DMEPOS supplier · Auburn, WAOperated by Proliance Surgeons Inc P SAccepts Medicare assignment
Proliance Orthopedic Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Proliance Surgeons, Inc., P.S.'s NPI number?
The NPI number for Proliance Surgeons, Inc., P.S. is 1417512021. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Proliance Orthopedic Associates.
Where is Proliance Surgeons, Inc., P.S. located?
Proliance Surgeons, Inc., P.S. is located at 1620 Lake Tapps Pkwy SE Ste 115, Auburn, WA 98092. The listed phone number is (253) 246-2860.
What is Proliance Surgeons, Inc., P.S.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Proliance Surgeons, Inc., P.S. enrolled in Medicare?
Yes. Proliance Surgeons, Inc., P.S. is registered in the Medicare PECOS enrollment system.
When is Proliance Surgeons, Inc., P.S.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by November 30, 2026. 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 Proliance Surgeons, Inc., P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons, Inc., P.S.. 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 Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 1 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Proliance Surgeons, Inc., P.S. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Proliance Orthopedic Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Proliance Surgeons, Inc., P.S. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Proliance Surgeons, Inc., P.S. 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 Proliance Surgeons, Inc., P.S. was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Proliance Orthopedic Associates · NPI 1417512021
Orthopaedic Surgery organization in Auburn, Washington. Organization record, active in the CMS NPPES registry since May 8, 2019.
## Identity
- **NPI:** 1417512021 (Entity type: Organization)
- **Enumerated:** May 8, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Proliance Surgeons, Inc., P.s.
- **Organization subpart:** No
- **Authorized official:** Laura Kleisle, CHIEF RISK OFFICER
## Practice location
- **Address:** 1620 LAKE TAPPS PKWY SE STE 115, Auburn, WA 98092-8376
- **Phone:** (253) 246-2860 · **Fax:** (253) 246-2861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Washington, Physician - Orthopedic/Orthopedic Surgery) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 589 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (169), Physical Therapist in Private Practice (97), Diagnostic Radiology (64); 1 practice at this address and 36 within 10 miles; [full list](https://npiprofile.com/npi/1417512021/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417512021) · Data from the CMS NPPES public registry.