MATTHEW BLACKE MD
NPI 1518220169
Family Medicine in Everett, WA
About Matthew Blacke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BLACKE MD (NPI 1518220169) is an individual family medicine provider in Everett, Washington, licensed in Washington (MD60489115) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Matthew Blacke Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Matthew Blacke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Kent, WA 98030
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Olympic Medical Center
Acute Care Hospitals · Port Angeles, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Blacke's NPI number?
The NPI number for Matthew Blacke is 1518220169. It was assigned to this individual provider in the NPPES registry on June 19, 2012.
Where is Matthew Blacke located?
Matthew Blacke practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 339-5422.
What is Matthew Blacke's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Blacke enrolled in Medicare?
Yes. Matthew Blacke 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.
Which organizations bill Medicare for Matthew Blacke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Blacke reassigns Medicare benefits to 4 organizations: Optum Care Washington PLLC (Everett, WA), The Polyclinic PLLC (Seattle, WA), Multicare Health System (Kent, WA) and Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). Each 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 Matthew Blacke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Blacke accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew Blacke 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 Matthew Blacke affiliated with any hospitals?
According to CMS data, Matthew Blacke is affiliated with Olympic Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Blacke was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Matthew Blacke, MD · NPI 1518220169
Family Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1518220169 (Entity type: Individual)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60489115 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3927 RUCKER AVE, Everett, WA 98201-4833
- **Phone:** (425) 339-5422 · **Fax:** (425) 339-5444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Optum Care Washington PLLC (NPI 1831186766, Everett, WA); The Polyclinic PLLC (NPI 1174594634, Seattle, WA); Multicare Health System (NPI 1811949928, Kent, WA); Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 16, 2026
- **Other identifiers:** Medicaid 2020095 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1518220169) · Data from the CMS NPPES public registry.