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DR. HENRY FRANCIS PELTO III MD
NPI 1659514909
Orthopaedic Surgery - Sports Medicine in Seattle, WA

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
10601 5TH AVE NE, STE 201 WEST, SEATTLE, WA 98125(206) 287-6400(206) 341-1801 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Apr 8, 2021 (2 updates tracked since 2021).

About Dr. Henry Francis Pelto Iii Md NPPES

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

DR. HENRY FRANCIS PELTO III MD (NPI 1659514909) is an individual sports medicine provider in Seattle, Washington, licensed in Washington (MD60298925) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Saint Louis University School Of Medicine (2009).

NPPES Registry Identity

NPI1659514909
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. HENRY FRANCIS PELTO IIICredential: MD
Location Address10601 5TH AVE NE, STE 201 WESTSeattle, WA 98125-7025
Mailing Address10601 5th Ave Ne, Ste 201 WestSeattle, WA 98125-7025 · (206) 287-6400 · Fax (206) 341-1801
Phone(206) 287-6400
Fax(206) 341-1801
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2009
Enumeration DateApril 16, 2009
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1659514909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WA · MD60298925
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ML60096913 (WA)
10601 5TH AVE NE, Seattle, WA 98125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Henry Francis Pelto Iii 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 ID8224278544
PECOS Enrollment IDI20130710000607
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
155 services32 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.
44 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
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.
32 services28 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.
22 services22 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

ROBERTA L MCMICHAEL PT
Physical Therapist
10601 5TH AVE NE, STE 201 WEST
SEATTLE, WA 98125
King County (206) 287-6400
AMY PORTACCI D.O.
Family Medicine
10601 5TH AVE NE, STE 201 WEST
SEATTLE, WA 98125
King County (206) 287-6400

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 Henry Pelto's NPI number?

The NPI number for Henry Pelto is 1659514909. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Henry Pelto located?

Henry Pelto practices at 10601 5th Ave NE Ste 201 West, Seattle, WA 98125. The listed phone number is (206) 287-6400.

What is Henry Pelto's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Henry Pelto enrolled in Medicare?

Yes. Henry Pelto 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 Henry Pelto accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Henry Pelto 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 Henry Pelto affiliated with any hospitals?

According to CMS data, Henry Pelto is affiliated with Virginia Mason Medical Center.

When was this NPI record last updated?

The NPPES record for Henry Pelto was last updated on October 15, 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.