DR. THEODORE ROSS BROWN MD
NPI 1568416873
Physical Medicine & Rehabilitation in Kirkland, WA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
12039 NE 128TH ST, SUITE 300, KIRKLAND, WA 98034(425) 899-5350(425) 899-5355 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Ross Brown Md NPPES

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

DR. THEODORE ROSS BROWN MD (NPI 1568416873) is an individual physical medicine & rehabilitation provider in Kirkland, Washington, licensed in Washington (MD00030955) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Harvard Medical School (1989).

NPPES Registry Identity

NPI1568416873
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. THEODORE ROSS BROWNCredential: MD
Location Address12039 NE 128TH ST, SUITE 300Kirkland, WA 98034-3030
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (425) 899-3292 · Fax (425) 899-3269
Fax(425) 899-5355
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1989
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 26, 2010
NPI 1568416873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in WA · MD00030955
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
12039 NE 128TH ST, Kirkland, WA 98034

Other Identifiers 5

MedicaidMD0955WAK
Medicare UPINH83922WA
Medicare PING8859998WA
Medicaid7101702WA
Medicaid8364887WA

Accepted 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. Theodore Ross Brown 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 ID7618952615
PECOS Enrollment IDI20040623000655
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
168 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
25 services23 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
18 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

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.

Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$181.84 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 14

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

Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034
Psychologist (Clinical)
12039 NE 128TH ST, STE 200
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034
Registered Nurse (Medical-Surgical)
12039 NE 128TH ST
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, SUITE 300
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, STE 300
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12039 NE 128TH ST, 300
KIRKLAND, WA 98034
Physical Therapist (Neurology)
12039 NE 128TH ST
KIRKLAND, WA 98034

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 Theodore Brown's NPI number?

The NPI number for Theodore Brown is 1568416873. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Theodore Brown located?

Theodore Brown practices at 12039 NE 128th St Suite 300, Kirkland, WA 98034. The listed phone number is (425) 899-5350.

What is Theodore Brown's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Theodore Brown enrolled in Medicare?

Yes. Theodore Brown 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 Theodore Brown accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theodore Brown 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 Theodore Brown affiliated with any hospitals?

According to CMS data, Theodore Brown is affiliated with Providence Regional Medical Center Everett, Valley Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Brown was last updated on January 26, 2010. 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.