PETER MARK JOHNSON
NPI 1609956671
Physician Assistant in Seattle, WA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109(206) 288-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter Mark Johnson NPPES

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

PETER MARK JOHNSON (NPI 1609956671) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA10004168) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1609956671
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePETER MARK JOHNSON
Location AddressAMBULATORY CLINIC, 825 EASTLAKE AVENUE EASTSeattle, WA 98109
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609956671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10004168
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

AMBULATORY CLINIC, Seattle, WA 98109

Other Identifiers 4

Medicare UPINP55780
Other2000195Internal Id-motor Vehicle Id
Medicaid8329922WA
Medicare ID-Type UnspecifiedAB28230

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

Peter Mark Johnson 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 ID4688705221
PECOS Enrollment IDI20100626000115
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 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.
31 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Medical Oncology)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Infectious Disease)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Psychologist (Clinical)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Physician Assistant
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Internal Medicine (Gastroenterology)
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609956671, enumerated as an "individual" on October 16, 2006.

The provider is located at AMBULATORY CLINIC 825 EASTLAKE AVENUE EAST SEATTLE, WA 98109 and the phone number is (206) 288-1000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.