RACHEL PONTEMAYOR D.O.
NPI 1780119560
Family Medicine in Lynnwood, WA

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment
19401 40TH AVE W STE 230, LYNNWOOD, WA 98036(425) 744-7153 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Jul 8, 2020, Apr 28, 2017 (3 updates tracked since 2017).

About Rachel Pontemayor D.o. NPPES

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

RACHEL PONTEMAYOR D.O. (NPI 1780119560) is an individual family medicine provider in Lynnwood, Washington, licensed in Washington (OP60959571) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1780119560
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHEL PONTEMAYORCredential: D.O.
Location Address19401 40TH AVE W STE 230Lynnwood, WA 98036-5675
Mailing Address19401 40th Ave W Ste 230Lynnwood, WA 98036-5675 · (425) 744-7153
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 28, 2017
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1780119560 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 · OP60959571
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.
19401 40TH AVE W STE 230, Lynnwood, WA 98036

Secondary Practice Location 1

Location 11806 W Lincoln AveYakima, WA 98902-2473 · Phone (509) 452-4520

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

Rachel Pontemayor D.o. 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 ID6305106006
PECOS Enrollment IDI20200826000915
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 7

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.
122 services80 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.
42 services42 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
33 services13 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.
25 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services15 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.
15 services15 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 98036 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036
Family Medicine
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036
Internal Medicine
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036
Family Medicine
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036
Family Medicine
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036
Social Worker (Clinical)
19401 40TH AVE W STE 230
LYNNWOOD, WA 98036

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 Rachel Pontemayor's NPI number?

The NPI number for Rachel Pontemayor is 1780119560. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Rachel Pontemayor located?

Rachel Pontemayor practices at 19401 40th Ave W Ste 230, Lynnwood, WA 98036. The listed phone number is (425) 744-7153.

What is Rachel Pontemayor's specialty?

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

Is Rachel Pontemayor enrolled in Medicare?

Yes. Rachel Pontemayor 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 Rachel Pontemayor accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rachel Pontemayor 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 Rachel Pontemayor affiliated with any hospitals?

According to CMS data, Rachel Pontemayor is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Pontemayor was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.