DR. HENRY FRANCIS PELTO III MD
NPI 1659514909
Orthopaedic Surgery - Sports Medicine in Seattle, WA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Henry Pelto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- 1,021 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Henry Pelto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Pelto reassigns Medicare benefits to Virginia Mason Medical Center (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Pelto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Dr. Henry Francis Pelto III, MD · NPI 1659514909
Sports Medicine physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since April 16, 2009.
## Identity
- **NPI:** 1659514909 (Entity type: Individual)
- **Enumerated:** April 16, 2009
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** MD60298925 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 10601 5TH AVE NE, STE 201 WEST, Seattle, WA 98125-7025
- **Phone:** (206) 287-6400 · **Fax:** (206) 341-1801
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virginia Mason Medical Center (NPI 1104974302, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659514909) · Data from the CMS NPPES public registry.