MARIA LYNN DETHERAGE MS, RPAC
NPI 1720219173
Physician Assistant in Federal Way, WA

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
31675 PACIFIC HWY S, FEDERAL WAY, WA 98003(253) 215-1093(253) 215-1094 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2020, Nov 21, 2018 (2 updates tracked since 2018).

About Maria Lynn Detherage Ms, Rpac NPPES

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

MARIA LYNN DETHERAGE MS, RPAC (NPI 1720219173) is an individual physician assistant in Federal Way, Washington, licensed in Washington (PA60866304) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1720219173
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA LYNN DETHERAGECredential: MS, RPAC
Location Address31675 PACIFIC HWY SFederal Way, WA 98003-5407
Mailing Address31675 Pacific Hwy SFederal Way, WA 98003-5407 · (253) 215-1093 · Fax (253) 215-1094
Fax(253) 215-1094
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 3, 2009
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
NPI 1720219173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60866304
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

31675 PACIFIC HWY S, Federal Way, WA 98003

Other Identifiers 1

Medicaid211807WA

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

Maria Lynn Detherage Ms, Rpac 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 ID4183936180
PECOS Enrollment IDI20181218001882
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 2024 & 2026 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.
136 services130 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.
44 services43 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Urgent Care)
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Family Medicine
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Family Medicine
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Nurse Practitioner (Family)
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Family Medicine
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Physician Assistant
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003
Family Medicine
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720219173, enumerated as an "individual" on August 03, 2009.

The provider is located at 31675 PACIFIC HWY S FEDERAL WAY, WA 98003 and the phone number is (253) 215-1093.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.

Maria Detherage is affiliated with: ST JOSEPH MEDICAL CENTER.