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OLYMPIC MEDICAL PHYSICIANS
NPI 1427081967
Family Medicine in Port Angeles, WA

Active since July 08, 2006CLIA Certified · 2 labs
907 GEORGIANA ST, PORT ANGELES, WA 98362(360) 565-0999(360) 565-0851 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2026, Oct 6, 2021, Aug 17, 2020 and 3 more (6 updates tracked since 2017).

About Olympic Medical Physicians NPPES

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

OLYMPIC MEDICAL PHYSICIANS (NPI 1427081967) is a healthcare organization registered as a family medicine in Port Angeles, Washington and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains 13 additional practice locations, and lists Charles Mark Gregson, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1427081967
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLYMPIC MEDICAL PHYSICIANS
Location Address907 GEORGIANA STPort Angeles, WA 98362-3911
Mailing AddressPo Box 24029Seattle, WA 98124-0029 · (360) 565-9237 · Fax (360) 565-9241
Phone(360) 565-0999
Fax(360) 565-0851
Organization SubpartNo
Authorized OfficialCharles Mark GregsonInterim Ceo · (360) 417-7705
Enumeration DateJuly 8, 2006
Last NPPES UpdateJanuary 27, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1427081967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
907 GEORGIANA ST, Port Angeles, WA 98362
Open in Google Maps ↗

Secondary Practice Locations 13

Location 1840 N 5th Ave Ste 1400Sequim, WA 98382-3045 · Phone (360) 582-2930 · Fax (360) 582-2931
Location 2777 N 5th Ave Ste 106Sequim, WA 98382-3080 · Phone (360) 565-0999 · Fax (360) 582-4121
Location 3303 W 8th StPort Angeles, WA 98362-5904 · Phone (360) 457-8578 · Fax (360) 457-4841
Location 4800 N 5th Ave Ste 101Sequim, WA 98382-3045 · Phone (360) 565-0999 · Fax (360) 582-4221
Location 5901 E Front StPort Angeles, WA 98362-4014 · Phone (360) 565-9520 · Fax (360) 452-4762
Location 6907 Georgiana StPort Angeles, WA 98362-3911 · Phone (360) 565-0999 · Fax (360) 457-1599
Location 7433 E 8th StPort Angeles, WA 98362-6219 · Phone (360) 565-0999 · Fax (360) 565-7610
Location 8840 N 5th AveSequim, WA 98382-3045 · Phone (360) 582-2930 · Fax (360) 582-2931
Location 9777 N 5th Ave Ste 300Sequim, WA 98382-3080 · Phone (360) 565-0999 · Fax (360) 582-4121
Location 10939 Caroline St # 3EPort Angeles, WA 98362-3909 · Phone (360) 565-0999 · Fax (360) 452-7303
Location 11939 Caroline StPort Angeles, WA 98362-3997 · Phone (360) 417-7000 · Fax (360) 565-9241
Location 121112 Caroline StPort Angeles, WA 98362-4204 · Phone (360) 565-0999 · Fax (360) 565-0541
Location 13840 N 5th Ave Ste 1500Sequim, WA 98382-3045 · Phone (360) 565-0999 · Fax (360) 582-2841

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olympic Medical Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Olympic Medical Physicians, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner14
Family Practice13
Hospitalist11
Obstetrics/Gynecology7
Radiation Oncology7
Cardiovascular Disease (Cardiology)6
Internal Medicine6
Orthopedic Surgery6
19 other specialties45

Nearest to this location (20)

See all 115
David Bayne, M.D.
Gastroenterology
NPI 1285082628
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Charles Bundy, MD
General Surgery
NPI 1710982921
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Adam Cota, M.D.
Orthopedic Surgery
NPI 1265820914
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Mckay Davis, DPM
Podiatry
NPI 1467072439
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Olga Drogomiretskiy
Sports Medicine
NPI 1326520099
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Erin Ellison, MD
Urology
NPI 1265060545
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Dirk Gouge, DO
Orthopedic Surgery
NPI 1962407551
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Karsi Grego, ARNP, RN
Nurse Practitioner
NPI 1699428326
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Zina Hajduczok, MD
Cardiovascular Disease (Cardiology)
NPI 1104939768
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Georgia Heisterkamp, MD
General Surgery
NPI 1679619241
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Thomas Herschmiller, MBBS (MD EQUIVALENT)
Orthopedic Surgery
NPI 1285868919
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Timothy Hewitt, MD
Urology
NPI 1396205332
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Edward Katime, MD
Family Practice
NPI 1386968824
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Adam Killpack, DO
Podiatry
NPI 1720510829
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Julie Knobel, LICSW
Clinical Social Worker
NPI 1144039660
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Calvin Kuo, M.D.
Family Practice
NPI 1477569143
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Dustin Larson, M.D.
Hand Surgery
NPI 1255656542
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Erica Lena, FNP
Nurse Practitioner
NPI 1285411082
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Sheena Plamoottil, M.D.
Obstetrics/Gynecology
NPI 1851655286
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
Colin Wolslegel, D.O.
Gastroenterology
NPI 1982990297
907 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-0999
✔ PECOS✔ Accepts MedicareSame address
See all 115 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2146278

Olympic Medical Physicians Pediatrics · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D2146278
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLaura Bullen
Laboratory Phone(360) 565-0999
Laboratory LocationOlympic Medical Physicians Pediatrics433 E 8th St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D1060949

Olympic Medical Physicians Multiple Sites · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D1060949
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2006
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSheena Plamoottil
Laboratory Phone(360) 452-3373
Laboratory LocationOlympic Medical Physicians Multiple Sites907 Georgianna St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Olympic Medical Physicians's NPI number?

The NPI number for Olympic Medical Physicians is 1427081967. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Olympic Medical Physicians located?

Olympic Medical Physicians is located at 907 Georgiana St, Port Angeles, WA 98362. The listed phone number is (360) 565-0999.

What is Olympic Medical Physicians's specialty?

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

Is Olympic Medical Physicians enrolled in Medicare?

Yes. Olympic Medical Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympic Medical Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 27 Medicare specialties reassign their Medicare billing to Olympic Medical Physicians. 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 Nurse Practitioner (14), Family Practice (13) and Hospitalist (11). Of these, 26 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olympic Medical Physicians hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Olympic Medical Physicians accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Olympic Medical Physicians 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 Olympic Medical Physicians was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.