DR. JOHN HAMILTON ADDISON MD
NPI 1659323087
Internal Medicine - Geriatric Medicine in Mercer Island, WA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
9725 SE 36TH ST STE 214, MERCER ISLAND, WA 98040(206) 275-3588(206) 275-2073 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Hamilton Addison Md NPPES

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

DR. JOHN HAMILTON ADDISON MD (NPI 1659323087) is an individual geriatric medicine provider in Mercer Island, Washington, licensed in Washington (MD00018359) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Washington School Of Medicine (1979).

NPPES Registry Identity

NPI1659323087
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. JOHN HAMILTON ADDISONCredential: MD
Location Address9725 SE 36TH ST STE 214Mercer Island, WA 98040-3840
Mailing AddressPo Box 1526Mercer Island, WA 98040-1526 · (206) 275-3588 · Fax (206) 275-2073
Fax(206) 275-2073
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1979
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
NPI 1659323087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in WA · MD00018359
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0072381 (CO)
9725 SE 36TH ST STE 214, Mercer Island, WA 98040

Secondary Practice Locations 2

Location 15495 Arapahoe Ave Ste 100GBoulder, CO 80303-1224 · Phone (303) 415-4246 · Fax (303) 415-8407
Location 22101 Ken Pratt Blvd Ste 104GLongmont, CO 80501-6568 · Phone (303) 415-4246 · Fax (303) 415-8407

Other Identifiers 2

Medicaid0186507WA
Medicaid9000231634CO

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. John Hamilton Addison 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 ID2961395413
PECOS Enrollment IDI20040921000058, I20240607002468
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 5

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.
64 services37 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
38 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
25 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98040 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
9725 SE 36TH ST STE 214
MERCER ISLAND, WA 98040

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 John Addison's NPI number?

The NPI number for John Addison is 1659323087. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is John Addison located?

John Addison practices at 9725 SE 36th St Ste 214, Mercer Island, WA 98040. The listed phone number is (206) 275-3588.

What is John Addison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is John Addison enrolled in Medicare?

Yes. John Addison 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 John Addison accept?

Health plans from PacificSource Health Plans and Providence Health Plan list John Addison 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 John Addison was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.