JOHN PAUK M.D.
NPI 1538137385
Internal Medicine - Infectious Disease in Seattle, WA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
904 7TH AVE, SEATTLE, WA 98104(206) 329-1760 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Pauk M.d. NPPES

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

JOHN PAUK M.D. (NPI 1538137385) is an individual infectious disease provider in Seattle, Washington, licensed in Washington (MD00032966) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1538137385
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOHN PAUKCredential: M.D.
Location Address904 7TH AVESeattle, WA 98104-1132
Mailing Address904 7th AveSeattle, WA 98104-1132 · (206) 329-1760
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1993
Enumeration DateMarch 9, 2006
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1538137385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in WA · MD00032966
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
904 7TH AVE, Seattle, WA 98104

Secondary Practice Location 1

Location 1515 Minor Ave Ste 300Seattle, WA 98104-2133 · Phone (206) 386-9500 · Fax (206) 386-9605

Other Identifiers 1

Medicaid8196784WA

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

John Pauk 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 ID2860528445
PECOS Enrollment IDI20100407000733
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

4

Medicare enrollment records show John Pauk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
Pediatrics
971 11TH AVE
Longview, WA 98632
  • Reassigned Medicare billing, Washington enrollment
  • 77 clinicians in this Medicare group
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, Washington enrollment
  • 60 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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Dermatology
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Physician Assistant (Surgical)
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
Physical Medicine & Rehabilitation (Pain Medicine)
904 7TH AVE
SEATTLE, WA 98104
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
Pediatrics
904 7TH AVE
SEATTLE, WA 98104

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 John Pauk's NPI number?

The NPI number for John Pauk is 1538137385. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is John Pauk located?

John Pauk practices at 904 7th Ave, Seattle, WA 98104. The listed phone number is (206) 329-1760.

What is John Pauk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is John Pauk enrolled in Medicare?

Yes. John Pauk 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 John Pauk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Pauk reassigns Medicare benefits to 4 organizations: Swedish Health Services (Seattle, WA), Providence Health & Services Washington (Olympia, WA), Providence Health & Services Oregon (Longview, WA) and Providence Medical Institute (Torrance, CA). 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 John Pauk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Pauk accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John Pauk 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 John Pauk affiliated with any hospitals?

According to CMS data, John Pauk is affiliated with Swedish Medical Center / Cherry Hill.

When was this NPI record last updated?

The NPPES record for John Pauk was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.