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DR. ALLISON RACHELLE ALBERTON MD
NPI 1598194342
Surgery in Edmonds, WA

Active since November 02, 2013PECOS EnrolledAccepts Medicare Assignment
7315 212TH ST SW STE 201, EDMONDS, WA 98026(425) 778-8116(425) 775-9526 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, May 5, 2021, Apr 12, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Allison Rachelle Alberton Md NPPES

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

DR. ALLISON RACHELLE ALBERTON MD (NPI 1598194342) is an individual surgery provider in Edmonds, Washington, licensed in Washington (MD60568384) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1598194342
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ALLISON RACHELLE ALBERTONCredential: MD
Location Address7315 212TH ST SW STE 201Edmonds, WA 98026
Mailing Address7315 212th St Sw Ste 201Edmonds, WA 98026-7610 · (425) 778-8116 · Fax (425) 775-9526
Phone(425) 778-8116
Fax(425) 775-9526
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 2, 2013
Last NPPES UpdateSeptember 8, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1598194342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WA · MD60568384✔ Licensed in MT · MED-PHYS-LIC-100616
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7315 212TH ST SW STE 201, Edmonds, WA 98026
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Other Names 1

Former Name (1)Allison Sweny

Secondary Practice Locations 4

Location 1205 S Main St Ste ACoupeville, WA 98239-3635 · Phone (360) 678-6799 · Fax (360) 678-6654
Location 213020 Meridian Ave SEverett, WA 98208-6468 · Phone (425) 778-8116 · Fax (425) 775-9526
Location 34033 Talbot Rd S Ste 530Renton, WA 98055-5700 · Phone (425) 690-3433 · Fax (425) 690-9433
Location 41333 Surgical Services WayKalispell, MT 59901-4844 · Phone (406) 751-5392 · Fax (406) 751-5406

Other Identifiers 1

Medicaid2048332WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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. Allison Rachelle Alberton 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 ID7618285891
PECOS Enrollment IDI20211011002874
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 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.

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.
28 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 Allison Alberton's NPI number?

The NPI number for Allison Alberton is 1598194342. It was assigned to this individual provider in the NPPES registry on November 2, 2013. The provider is also known as Allison Sweny.

Where is Allison Alberton located?

Allison Alberton practices at 7315 212th St SW Ste 201, Edmonds, WA 98026. The listed phone number is (425) 778-8116.

What is Allison Alberton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Allison Alberton enrolled in Medicare?

Yes. Allison Alberton 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 Allison Alberton accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Allison Alberton 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 Allison Alberton affiliated with any hospitals?

According to CMS data, Allison Alberton is affiliated with Logan Health Medical Center and Cabinet Peaks Medical Center.

When was this NPI record last updated?

The NPPES record for Allison Alberton was last updated on September 8, 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.