THERESA A PLATZ M.D.
NPI 1689627747
Family Medicine in Bothell, WA
About Theresa A Platz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA A PLATZ M.D. (NPI 1689627747) is an individual family medicine provider in Bothell, Washington, licensed in Washington (MD00036522) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of University Of Washington School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 1
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
Theresa A Platz M.d. 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.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Evergreenhealth Monroe
Acute Care Hospitals · Monroe, WAEvergreenhealth Medical Center
Acute Care Hospitals · Kirkland, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0% | 119 |
| Appropriate Treatment for Upper Respiratory Infection (URI) | 100% | 37 |
| Breast Cancer Screening | 83% | 507 |
| Cervical Cancer Screening | 48% | 624 |
| Chlamydia Screening for Women | 31% | 32 |
| Closing the Referral Loop: Receipt of Specialist Report | 1% | 479 |
| Colorectal Cancer Screening | 69% | 757 |
| Controlling High Blood Pressure | 86% | 320 |
| Diabetes: Eye Exam | 26% | 103 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 10% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 103 |
| Documentation of Current Medications in the Medical Record | 93% | 2014 |
| e-Prescribing | 100% | 379 |
| Falls: Screening for Future Fall Risk | 22% | 307 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 49% | 1075 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 53% | 795 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 61% | 1097 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 945 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 52% | 23 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% | 945 |
| Provide Patients Electronic Access to Their Health Information | 100% | 497 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 75% | 257 |
| Use of High-Risk Medications in Older Adults | 6% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 336 |
| Use of High-Risk Medications in Older Adults | 10% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 336 |
| Use of High-Risk Medications in Older Adults | 10% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 336 |
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689627747, enumerated as an "individual" on May 18, 2006.
The provider is located at 10025 NE 186TH ST BOTHELL, WA 98011 and the phone number is (425) 486-9131.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
Theresa Platz is affiliated with: EVERGREENHEALTH MONROE and EVERGREENHEALTH MEDICAL CENTER.
