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DR. ROBERTO ALFILER VELASCO JR. M.D.
NPI 1548376791
Family Medicine in Seattle, WA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6044 MARTIN LUTHER KING JR WAY S STE 104, SEATTLE, WA 98118(206) 723-9853(206) 723-0849 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roberto Alfiler Velasco Jr. M.d. NPPES

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

DR. ROBERTO ALFILER VELASCO JR. M.D. (NPI 1548376791) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00022120) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1548376791
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERTO ALFILER VELASCO JR.Credential: M.D.
Location Address6044 MARTIN LUTHER KING JR WAY S STE 104Seattle, WA 98118-3179
Mailing Address6044 Martin Luther King Jr Way S Ste 104Seattle, WA 98118-3179 · (206) 723-9853 · Fax (206) 723-0849
Phone(206) 723-9853
Fax(206) 723-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 28, 2012
✔ NPI 1548376791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00022120
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.

6044 MARTIN LUTHER KING JR WAY S STE 104, Seattle, WA 98118
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Other Identifiers 10

Other010743WA · Ppo
OtherWA7289WA · Hmo
Other911488790WA · Commercial
Medicaid7033046WA
Medicare ID-Type UnspecifiedG8856995WA
Medicare ID-Type UnspecifiedG8856997WA
OtherVE4004Regence
Medicare UPINA06076WA
Other50D0934866WA · Clia
Medicaid1011592WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Roberto Alfiler Velasco Jr. 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 ID4284652108
PECOS Enrollment IDI20051109000090
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 8

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.

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.
156 services83 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
146 services56 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
142 services78 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
115 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
88 services73 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
65 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98118 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.35
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%65 patients
Controlling High Blood Pressure
96%319 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%4,193 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%411 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%868 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
85%1,383 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 839 patients
Patients screened: 98% · 839 patients
63%88 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 436 patients
Patients totalRate: 8% · 436 patients
7%436 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers11 claims36 services$5.88 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 2

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

SOUTHGATE MEDICAL CLINIC, P.S.
Clinic/Center (Primary Care)
6044 MARTIN LUTHER KING JR WAY S STE 104
SEATTLE, WA 98118
King County (206) 723-9853
SOUTHGATE MEDICAL CLINIC, P.S.
Clinic/Center (Primary Care)
6044 MARTIN LUTHER KING JR WAY S STE 104
SEATTLE, WA 98118
King County (206) 723-9853

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 Roberto Velasco's NPI number?

The NPI number for Roberto Velasco is 1548376791. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Roberto Velasco located?

Roberto Velasco practices at 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118. The listed phone number is (206) 723-9853.

What is Roberto Velasco's specialty?

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

Is Roberto Velasco enrolled in Medicare?

Yes. Roberto Velasco 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 Roberto Velasco accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Roberto Velasco 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 Roberto Velasco was last updated on November 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.