VICTORIA BLACK HORSE M.D.
NPI 1487186177
Internal Medicine in Kirkland, WA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
620 5TH AVE S STE 200, KIRKLAND, WA 98033(425) 814-5100(425) 814-5103 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Aug 17, 2020, Jun 11, 2020 and 1 more (4 updates tracked since 2017).

About Victoria Black Horse M.d. NPPES

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

VICTORIA BLACK HORSE M.D. (NPI 1487186177) is an individual internal medicine provider in Kirkland, Washington, licensed in Washington (MD61056392) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1487186177
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVICTORIA BLACK HORSECredential: M.D.
Location Address620 5TH AVE S STE 200Kirkland, WA 98033-6736
Mailing AddressPo Box 741515Los Angeles, CA 90074-1515
Fax(425) 814-5103
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1487186177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD61056392
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
620 5TH AVE S STE 200, Kirkland, WA 98033

Secondary Practice Location 1

Location 11200 NW 23rd Ave, Legacy Clinic Good SamaritanPortland, OR 97210-2906 · Phone (503) 413-7074 · Fax (503) 413-6892

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

Victoria Black Horse 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 ID4688942865
PECOS Enrollment IDI20200818002625
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 19

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.
354 services205 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
303 services203 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.
169 services145 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.
160 services160 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
108 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98033 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

Family Medicine
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Dietitian, Registered
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Pharmacist
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Physical Therapist
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Podiatrist (Foot & Ankle Surgery)
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Internal Medicine
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Physician Assistant
620 5TH AVE S STE 200
KIRKLAND, WA 98033
Allergy & Immunology
620 5TH AVE S STE 200
KIRKLAND, WA 98033

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 Victoria Black Horse's NPI number?

The NPI number for Victoria Black Horse is 1487186177. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Victoria Black Horse located?

Victoria Black Horse practices at 620 5th Ave S Ste 200, Kirkland, WA 98033. The listed phone number is (425) 814-5100.

What is Victoria Black Horse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Victoria Black Horse enrolled in Medicare?

Yes. Victoria Black Horse 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 Victoria Black Horse accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Victoria Black Horse 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.

Is Victoria Black Horse affiliated with any hospitals?

According to CMS data, Victoria Black Horse is affiliated with Virginia Mason Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Victoria Black Horse was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.