PAUL A WARDROP M.D.
NPI 1467714022
Family Medicine in Yakima, WA

Q: What is Paul Wardrop's NPI number?

The NPI number for Paul Wardrop is 1467714022. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Q: What is Paul Wardrop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Wardrop was last updated on April 11, 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.

Active since June 11, 2012PECOS EnrolledAccepts Medicare Assignment

5109 SUMMITVIEW AVE, YAKIMA, WA 98908(509) 907-6300 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2024, Mar 27, 2020, Sep 19, 2017 and 1 more (4 updates tracked since 2015).

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About Paul A Wardrop M.d. NPPES

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

PAUL A WARDROP M.D. (NPI 1467714022) is an individual family medicine provider in Yakima, Washington, licensed in Washington (MD60488613) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1467714022

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL A WARDROPCredential: M.D.

Location Address5109 SUMMITVIEW AVEYakima, WA 98908-2858

Mailing Address5109 Summitview AveYakima, WA 98908-2858 · (509) 907-6300

Phone(509) 907-6300

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 11, 2012

Last NPPES UpdateApril 11, 20244 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1467714022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60488613

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 ListedHospitalistTaxonomy 208M00000X · License MD60488613 (WA)

5109 SUMMITVIEW AVE, Yakima, WA 98908

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Other Identifiers 2

Medicaid2019823WA

OtherG8970600WA · Medicare W Valley Medical Group - Renton

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul A Wardrop M.d. 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 ID9335364462

PECOS Enrollment IDI20150817002423

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Wardrop reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yakima Valley Farm Workers Clinic

Same address

Federally Qualified Health Center (FQHC)

5109 SUMMITVIEW AVE
Yakima, WA 98908

Reassigned Medicare billing, Washington enrollment
252 clinicians in this Medicare group

NPI 1902532070 (509) 865-6175

Valley Medical Group-Renton

97 mi

General Acute Care Hospital

400 S 43RD ST
Renton, WA 98055

Reassigned Medicare billing, Washington enrollment
689 clinicians in this Medicare group

NPI 1619209574 (425) 228-3440

Source: 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 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.

129 services114 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.

48 services48 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.

16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500036

Location2811 Tieton DriveYakima, WA 98902 · Yakima County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98908 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers26 claims46 services$4.82 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims342 services$2.54 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims6,156 services$0.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$67.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$34.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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