CLAIRE DE LA CALLE M.D.
NPI 1629464581
Urology in Seattle, WA

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2021, Oct 11, 2016 (2 updates tracked since 2016).

About Claire De La Calle M.d. NPPES

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

CLAIRE DE LA CALLE M.D. (NPI 1629464581) is an individual urology provider in Seattle, Washington, licensed in Washington (MD61427184) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629464581
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameCLAIRE DE LA CALLECredential: M.D.
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 7, 2015
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1629464581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in WA · MD61427184
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1959 NE PACIFIC ST, Seattle, WA 98195

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

Claire De La Calle 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 ID3072891951
PECOS Enrollment IDI20230905002859
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 9

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 with low level od decision making, if using time, 20 minutes or more 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.
78 services71 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.
75 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
65 services65 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
58 services57 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
56 services55 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
27 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
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
Quality73.95
Promoting Interoperability100
Improvement Activities40

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Peter ***** July 31, 2025

5/5
Dr Claire De La Calle was amazing. I was concerned about the procedure, but she kept me abreast of exactly what she was doing. I would recommend her to anyone. Her staff was caring and attentive It was a good experience. Thank you Dr for your care, gentle approach, and attentiveness
Provider 5/5 Office Staff 5/5
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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.

Internal Medicine (Nephrology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Neurology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Psychiatry)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST, BOX 356174
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Emergency Medicine
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Orthopaedic Surgery (Sports Medicine)
1959 NE PACIFIC ST, BOX 356500
SEATTLE, WA 98195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629464581, enumerated as an "individual" on April 07, 2015.

The provider is located at 1959 NE PACIFIC ST SEATTLE, WA 98195 and the phone number is (206) 520-5000.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Claire De La Calle is affiliated with: SKAGIT VALLEY HOSPITAL, UNIVERSITY OF WASHINGTON MEDICAL CTR and OLYMPIC MEDICAL CENTER.