DR. ALICIA SUZANNA GIMENEZ MD
NPI 1780676148
Family Medicine in White Salmon, WA

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
212 SKYLINE DR, WHITE SALMON, WA 98672(509) 493-2133(509) 493-9538 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alicia Suzanna Gimenez Md NPPES

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

DR. ALICIA SUZANNA GIMENEZ MD (NPI 1780676148) is an individual family medicine provider in White Salmon, Washington, licensed in Washington (MD00033032) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of University Of Washington School Of Medicine (1993).

NPPES Registry Identity

NPI1780676148
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALICIA SUZANNA GIMENEZCredential: MD
Location Address212 SKYLINE DRWhite Salmon, WA 98672
Mailing AddressPo Box 1519White Salmon, WA 98672-1519 · (509) 493-2133 · Fax (509) 493-9538
Fax(509) 493-9538
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1993
Enumeration DateAugust 22, 2005
Last NPPES UpdateAugust 26, 2011
NPI 1780676148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WA · MD00033032 Licensed in OR · MD20959
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.
212 SKYLINE DR, White Salmon, WA 98672

Other Names 1

Other Name (5)Mrs. R. Allen Laberge

Other Identifiers 5

Medicare UPING27895WA
Medicare PIN000680913WA
Medicare OSCAR/certification503835WA
Medicare OSCAR/certification503836WA
Medicaid8194987WA

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

Dr. Alicia Suzanna Gimenez Md 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 ID7012050669
PECOS Enrollment IDI20100204000085, I20231030002587
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 3

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.

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.
77 services39 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County
Emergency services Birthing friendly

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Skyline Hospital

Critical Access Hospitals · White Salmon, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501315
Location211 Skyline DriveWhite Salmon, WA 98672 · Klickitat County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98672 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.

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.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83
Promoting Interoperability100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers37 claims92 services$6.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$208.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Physician Assistant (Medical)
212 SKYLINE DR
WHITE SALMON, WA 98672
Family Medicine
212 SKYLINE DR
WHITE SALMON, WA 98672
Family Medicine
212 SKYLINE DR
WHITE SALMON, WA 98672
Family Medicine
212 SKYLINE DR
WHITE SALMON, WA 98672
Family Medicine
212 SKYLINE DR
WHITE SALMON, WA 98672
Nurse Practitioner (Family)
212 SKYLINE DR
WHITE SALMON, WA 98672
Physician Assistant (Medical)
212 SKYLINE DR
WHITE SALMON, WA 98672
Family Medicine
212 SKYLINE DR
WHITE SALMON, WA 98672

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 Alicia Gimenez's NPI number?

The NPI number for Alicia Gimenez is 1780676148. It was assigned to this individual provider in the NPPES registry on August 22, 2005. The provider is also known as Mrs. R. Allen Laberge.

Where is Alicia Gimenez located?

Alicia Gimenez practices at 212 Skyline Dr, White Salmon, WA 98672. The listed phone number is (509) 493-2133.

What is Alicia Gimenez's specialty?

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

Is Alicia Gimenez enrolled in Medicare?

Yes. Alicia Gimenez 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 Alicia Gimenez accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alicia Gimenez 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 Alicia Gimenez affiliated with any hospitals?

According to CMS data, Alicia Gimenez is affiliated with Mid-Columbia Medical Center, Providence Hood River Memorial Hospital and Skyline Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Gimenez was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.