THERESA A PLATZ M.D.
NPI 1689627747
Family Medicine in Bothell, WA

Q: What is Theresa Platz's NPI number?

The NPI number for Theresa Platz is 1689627747. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Theresa Platz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Platz was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

96.31/100

CMS Quality Rating

10025 NE 186TH ST, BOTHELL, WA 98011(425) 486-9131 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1689627747

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTHERESA A PLATZCredential: M.D.

Location Address10025 NE 186TH STBothell, WA 98011-3839

Mailing AddressPo Box 646Bothell, WA 98041-0646 · (425) 485-3955

Phone(425) 486-9131

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1996

Enumeration DateMay 18, 2006

Last NPPES UpdateApril 3, 2009

✔ NPI 1689627747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00036522

Definition

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.

10025 NE 186TH ST, Bothell, WA 98011

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Other Identifiers 1

Medicare UPING74749

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

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.

PECOS PAC ID2264474113

PECOS Enrollment IDI20050601000662

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 5

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.

110 services78 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 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.

41 services31 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

37 services16 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.

17 services16 patients

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, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500084

Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County

Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician 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.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

96.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

97.1

Promoting Interoperability

100

Improvement Activities

Cost

90.62

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%119 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

100%37 patients5/55-star benchmark: 100%

Breast Cancer Screening

83%507 patients4/55-star benchmark: 93%

Cervical Cancer Screening

48%624 patients2/55-star benchmark: 98%

Chlamydia Screening for Women

31%32 patients

Closing the Referral Loop: Receipt of Specialist Report

1%479 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

69%757 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

86%320 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

26%103 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

10%103 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%2,014 patients4/55-star benchmark: 100%

e-Prescribing

100%379 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

22%307 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

49%1,075 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

53%795 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

61%1,097 patients5/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 945 patients

Patients screened: 99% · 945 patients

52%23 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%497 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

75%257 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 6% · 336 patients

Patients totalRate: 10% · 336 patients

10%336 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

KELLY P GRENNER ARNP-FNP

Nurse Practitioner (Family)