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KELLY GARNESKI PAULSON MD, PHD
NPI 1659646115
Internal Medicine - Medical Oncology in Edmonds, WA

Active since March 16, 2012PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
21632 HIGHWAY 99, EDMONDS, WA 98026(425) 775-1677(425) 778-1635 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Garneski Paulson Md, Phd NPPES

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

KELLY GARNESKI PAULSON MD, PHD (NPI 1659646115) is an individual medical oncology provider in Edmonds, Washington, licensed in Washington (MD60494102) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of University Of Washington School Of Medicine (2012).

NPPES Registry Identity

NPI1659646115
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameKELLY GARNESKI PAULSONCredential: MD, PHD
Location Address21632 HIGHWAY 99Edmonds, WA 98026
Mailing Address800 5th Ave Ste 600Seattle, WA 98104-3186 · (425) 775-1677 · Fax (425) 778-1635
Phone(425) 775-1677
Fax(425) 778-1635
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2012
Enumeration DateMarch 16, 2012
Last NPPES UpdateOctober 9, 2019
✔ NPI 1659646115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in WA · MD60494102
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
21632 HIGHWAY 99, Edmonds, WA 98026
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Mary Garneski

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Kelly Garneski Paulson Md, Phd 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 ID1557686193
PECOS Enrollment IDI20180530003227
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 8

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 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.
407 services136 patients
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.
131 services54 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.
114 services96 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.
71 services18 patients
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.
49 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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.

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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 9

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

NATALIA SMITH ARNP, FNP, AGACNP
Nurse Practitioner
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300
JENNIFER R. WULFF ARNP
Nurse Practitioner
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 775-1677
DR. JAY PATRICK LOPEZ MD
Internal Medicine (Hematology & Oncology)
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 775-1677
PERRIN E ROMINE MD
Internal Medicine (Medical Oncology)
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300
ELIZABETH FEILD MCGEHEE MD
Internal Medicine
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300
JENNIFER MARIE NEWKIRK ARNP
Nurse Practitioner
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300
STEPHANIE CRAM ARNP
Nurse Practitioner
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300
DR. SUSAN KATHLEEN MONTGOMERY MD
Internal Medicine (Hematology & Oncology)
21632 HIGHWAY 99
EDMONDS, WA 98026
Snohomish County (425) 673-8300

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 Kelly Paulson's NPI number?

The NPI number for Kelly Paulson is 1659646115. It was assigned to this individual provider in the NPPES registry on March 16, 2012. The provider is also known as Kelly Mary Garneski.

Where is Kelly Paulson located?

Kelly Paulson practices at 21632 Highway 99, Edmonds, WA 98026. The listed phone number is (425) 775-1677.

What is Kelly Paulson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kelly Paulson enrolled in Medicare?

Yes. Kelly Paulson 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 Kelly Paulson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Paulson 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 Kelly Paulson affiliated with any hospitals?

According to CMS data, Kelly Paulson is affiliated with Providence Regional Medical Center Everett, Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital, Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Kelly Paulson was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.