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MARIO V CERPA MD
NPI 1558397406
Family Medicine in Mt Vernon, WA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
1415 KINCAID ST, MT VERNON, WA 98273(360) 588-5550(360) 588-5590 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario V Cerpa Md NPPES

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

MARIO V CERPA MD (NPI 1558397406) is an individual family medicine provider in Mt Vernon, Washington, licensed in Washington (MD00022221) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1558397406
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO V CERPACredential: MD
Location Address1415 KINCAID STMt Vernon, WA 98273-4126
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-3335 · Fax (206) 764-0489
Phone(360) 588-5550
Fax(360) 588-5590
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 31, 2009
✔ NPI 1558397406 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 · MD00022221
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.
1415 KINCAID ST, Mt Vernon, WA 98273
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Other Identifiers 4

Medicare UPINA14990
Medicare ID-Type UnspecifiedAB12767WA
Medicaid8600389WA
Other132724WA · Labor & Industries

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

Mario V Cerpa 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.

PECOS PAC ID9638217433
PECOS Enrollment IDI20091117000041
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98273 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Mario Cerpa's NPI number?

The NPI number for Mario Cerpa is 1558397406. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Mario Cerpa located?

Mario Cerpa practices at 1415 Kincaid St, Mt Vernon, WA 98273. The listed phone number is (360) 588-5550.

What is Mario Cerpa's specialty?

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

Is Mario Cerpa enrolled in Medicare?

Yes. Mario Cerpa 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 Mario Cerpa accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mario Cerpa 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 Mario Cerpa was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.