PROLIANCE SURGEONS INC P S
NPI 1508893066
Orthopaedic Surgery in Bellevue, WA

Q: What is Proliance Surgeons Inc P S's NPI number?

The NPI number for Proliance Surgeons Inc P S is 1508893066. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as Proliance Orthopaedics and Sports Medicine.

Q: What is Proliance Surgeons Inc P S's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since June 28, 2006

3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004(425) 455-3600(425) 455-3920 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Mar 28, 2023, Dec 22, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Proliance Surgeons Inc P S NPPES

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

PROLIANCE SURGEONS INC P S (NPI 1508893066), doing business as Proliance Orthopaedics And Sports Medicine, is a healthcare organization registered as an orthopaedic surgery in Bellevue, Washington and active in the NPI registry since June 2006. The organization maintains 3 additional practice locations and lists Cori M. Pleasant, Mgr Provider Relations & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1508893066

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NamePROLIANCE SURGEONS INC P S

Location Address3101 NORTHUP WAY STE 201Bellevue, WA 98004-1449

Mailing Address510 8th Ave Ne Ste 320Issaquah, WA 98029-5436 · (425) 507-0733 · Fax (425) 283-5551

Phone(425) 455-3600

Fax(425) 455-3920

Organization SubpartNo

Authorized OfficialCori M. PleasantMgr Provider Relations & Enrollment · (206) 838-2585

Enumeration DateJune 28, 2006

Last NPPES UpdateMay 20, 20265 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1508893066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

3101 NORTHUP WAY STE 201, Bellevue, WA 98004

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Other Names 1

Doing Business AsProliance Orthopaedics And Sports Medicine

Secondary Practice Locations 3

Location 1510 8th Ave NE Ste 200Issaquah, WA 98029-5436 · Phone (425) 392-3030 · Fax (425) 392-2564

Location 2515 Minor Ave Ste 200Seattle, WA 98104-2133 · Phone (425) 455-3600 · Fax (425) 455-3920

Location 318100 NE Union Hill Rd Ste 330Redmond, WA 98052-3330 · Phone (425) 455-3600 · Fax (425) 455-3920

Other Identifiers 4

Other0532700042WA · Dme

Medicaid2016746WA

Other192649200WA · Owcp

Other0122274WA · L & I

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)

Proliance Surgeons Inc P S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Surgeons Inc P S, which bills Medicare for the services they deliver. Of these, 37 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169

Physical Therapist in Private Practice97

Diagnostic Radiology64

Otolaryngology52

Occupational Therapist in Private Practice38

Qualified Audiologist26

Nurse Practitioner23

Obstetrics/Gynecology20

19 other specialties100

Nearest to this location (20)

See all 589

Jacqlynn Gentzkow, DPT

Physical Therapist in Private Practice

NPI 1972294874

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Sanket Katta, DPT

Physical Therapist in Private Practice

NPI 1386504470

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Diep-Kimberly Nguyen, DPT

Physical Therapist in Private Practice

NPI 1386294643

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Hannah Villaroya, DPT

Physical Therapist in Private Practice

NPI 1336029388

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Anna Wypych, DPT

Physical Therapist in Private Practice

NPI 1265204770

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Christopher Boone, M.D.

Orthopedic Surgery

NPI 1770783607

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Clayton Brandes, MD

Orthopedic Surgery

NPI 1396716346

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Mark Bromberg, MSPT

Physical Therapist in Private Practice

NPI 1033196092

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

James Bruckner, MD

Orthopedic Surgery

NPI 1154392942

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Angela Crivello, DPT

Physical Therapist in Private Practice

NPI 1154474849

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Raegan Hadley, OTD, OTR/L

Occupational Therapist in Private Practice

NPI 1083452254

3101 NORTHUP WAY STE 301
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Wesley Hardgrove, MD

Physical Medicine and Rehabilitation

NPI 1932692928

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Jonah Hulst, M.D.

Orthopedic Surgery

NPI 1912154022

3101 NORTHUP WAY
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

John Jamora, DO

Family Practice

NPI 1447755764

3101 NORTHUP WAY STE 101
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Gregory Komenda, M.D.

Orthopedic Surgery

NPI 1972562528

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Grant Lohse, M.D.

Orthopedic Surgery

NPI 1205033784

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Erik Magnusson, MD

Orthopedic Surgery

NPI 1447679816

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

Kate Osborne, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1679644827

3101 NORTHUP WAY STE 301
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Megan Swanson, MOT, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1477726446

3101 NORTHUP WAY STE 301
Bellevue, WA 98004

(425) 462-5006

✔ Accepts MedicareSame address

Meaghan Victory, RN, ARNP

Nurse Practitioner

NPI 1538996921

3101 NORTHUP WAY STE 201
Bellevue, WA 98004

(425) 455-3600

✔ PECOS✔ Accepts MedicareSame address

See all 589 clinicians

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

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 1508893066. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as Proliance Orthopaedics and Sports Medicine.

Where is Proliance Surgeons Inc P S located?

Proliance Surgeons Inc P S is located at 3101 Northup Way Ste 201, Bellevue, WA 98004. The listed phone number is (425) 455-3600.

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.

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, 37 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Proliance Surgeons Inc P S accept?

Health plans from Ambetter Health and 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 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.