TODD J. CICHOSZ PA-C
NPI 1669760120
Physician Assistant - Medical in Battle Ground, WA

Active since July 19, 2011Opted out of Medicare · through Apr 1, 2027
101 NW 12TH AVE STE 107, BATTLE GROUND, WA 98604(360) 723-0528(360) 995-0081 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2023, Nov 24, 2015 (2 updates tracked since 2015).

About Todd J. Cichosz Pa-c NPPES

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

TODD J. CICHOSZ PA-C (NPI 1669760120) is an individual medical provider in Battle Ground, Washington, licensed in Washington (PA60470619) and active in the NPI registry since July 2011. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1669760120
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTODD J. CICHOSZCredential: PA-C
Location Address101 NW 12TH AVE STE 107Battle Ground, WA 98604-9141
Mailing AddressPo Box 1183Battle Ground, WA 98604-1183 · (360) 723-0528
Fax(360) 995-0081
Sole ProprietorNo
Enumeration DateJuly 19, 2011
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
NPI 1669760120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in WA · PA60470619 Licensed in OR · MC2783290 Licensed in WA · MC3397886
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601006041 (MI)
101 NW 12TH AVE STE 107, Battle Ground, WA 98604

Secondary Practice Location 1

Location 12510 Columbia House BlvdVancouver, WA 98661-7763 · Phone (844) 966-6777

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Todd J. Cichosz Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

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

Clinic/Center (Urgent Care)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Nurse Practitioner
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Nurse Practitioner (Family)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Physician Assistant
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Physician Assistant
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Psychologist (Clinical)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Physician Assistant (Medical)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Physician Assistant
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604

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 Todd Cichosz's NPI number?

The NPI number for Todd Cichosz is 1669760120. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Todd Cichosz located?

Todd Cichosz practices at 101 NW 12th Ave Ste 107, Battle Ground, WA 98604. The listed phone number is (360) 723-0528.

What is Todd Cichosz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Todd Cichosz enrolled in Medicare?

No. Todd Cichosz has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Todd Cichosz accept?

Health plans from BridgeSpan Health Company, McLaren Health Plan Community, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Todd Cichosz 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 Todd Cichosz was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.