MR. PAUL ALEXANDER ROBERTSON MD
NPI 1639175938
Internal Medicine - Hematology & Oncology in Lacey, WA

Active since June 22, 2005PECOS Enrolled
4525 3RD AVE SE, STE 200, LACEY, WA 98503(360) 754-3934(360) 943-8023 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Paul Alexander Robertson Md NPPES

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

MR. PAUL ALEXANDER ROBERTSON MD (NPI 1639175938) is an individual hematology & oncology provider in Lacey, Washington, licensed in Washington (MD00026285) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639175938
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMR. PAUL ALEXANDER ROBERTSONCredential: MD
Location Address4525 3RD AVE SE, STE 200Lacey, WA 98503-1010
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-2455
Fax(360) 943-8023
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1639175938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WA · MD00026285
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License MD00026285 (WA)
4525 3RD AVE SE, Lacey, WA 98503

Other Identifiers 1

Medicaid1150028WA

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 (PECOS)

Mr. Paul Alexander Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98503 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
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.

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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers18 claims36 services$31.37 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 19

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

Specialist
4525 3RD AVE SE, STE 200
LACEY, WA 98503
Internal Medicine (Hematology & Oncology)
4525 3RD AVE SE, STE 200
LACEY, WA 98503
Nurse Practitioner (Family)
4525 3RD AVE SE
LACEY, WA 98503
Radiology (Radiation Oncology)
4525 3RD AVE SE, SUITE 100
LACEY, WA 98503
Specialist
4525 3RD AVE SE, SUITE 200
LACEY, WA 98503
Radiology (Radiation Oncology)
4525 3RD AVE SE, SUITE 100
LACEY, WA 98503
Radiology (Radiation Oncology)
4525 3RD AVE SE, SUITE 100
LACEY, WA 98503
Radiology (Radiation Oncology)
4525 3RD AVE SE, SUITE 100
LACEY, WA 98503

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 Paul Robertson's NPI number?

The NPI number for Paul Robertson is 1639175938. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Paul Robertson located?

Paul Robertson practices at 4525 3rd Ave SE Ste 200, Lacey, WA 98503. The listed phone number is (360) 754-3934.

What is Paul Robertson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Robertson enrolled in Medicare?

Yes. Paul Robertson is registered in the Medicare PECOS enrollment system.

What insurance does Paul Robertson accept?

Health plans from Providence Health Plan list Paul Robertson 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 Paul Robertson was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.