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DR. SUNGMI LIAN M.D.
NPI 1790883965
Family Medicine in Seattle, WA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
201 16TH AVE E, SEATTLE, WA 98112(206) 326-3000(877) 515-2975 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Sungmi Lian M.d. NPPES

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

DR. SUNGMI LIAN M.D. (NPI 1790883965) is an individual family medicine provider in Seattle, Washington, licensed in Alaska (5950) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and maintains a secondary practice location in Galveston.

NPPES Registry Identity

NPI1790883965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUNGMI LIANCredential: M.D.
Location Address201 16TH AVE ESeattle, WA 98112-5226
Mailing Address301 Univesity BlvdGalveston, TX 77555-5302 · (409) 772-2222
Phone(206) 326-3000
Fax(877) 515-2975
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1790883965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 5950
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.
201 16TH AVE E, Seattle, WA 98112
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Secondary Practice Location 1

Location 1301 Univesity BlvdGalveston, TX 77555-5302 · Phone (409) 772-2222

Other Identifiers 1

MedicaidMD7174AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Sungmi Lian 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 ID1951494038
PECOS Enrollment IDI20131031000882, I20260310002097, I20260312001551
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

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 98112 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%93 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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$18.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$100.35 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 20

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

DR. MICHAEL DONG CHO M.D.
Internal Medicine (Rheumatology)
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-3000
MRS. MELAINE MENDOZA ROMAN OTRP, OTR/L
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-4545
NHI LUAN TAN
Student in an Organized Health Care Education/Training Program
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-3000
GROUP HEALTH COOPERATIVE
Clinic/Center (Ambulatory Surgical)
201 16TH AVE E, SUITE CMB-2
SEATTLE, WA 98112
King County (206) 326-2107
JOYCE KRISTINE AQUINO
Registered Nurse (Home Health)
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-4545
KIMBERLY DAWN GRASSMAN
Home Health Aide
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 635-1668
GARRETT KOBAYASHI PHARMD
Pharmacist
201 16TH AVE E
SEATTLE, WA 98112
King County (206) 326-2880
TAYLAR GALLUP OTR/L
Occupational Therapist
201 16TH AVE E
SEATTLE, WA 98112
King County (877) 751-2446

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 Sungmi Lian's NPI number?

The NPI number for Sungmi Lian is 1790883965. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Sungmi Lian located?

Sungmi Lian practices at 201 16th Ave E, Seattle, WA 98112. The listed phone number is (206) 326-3000.

What is Sungmi Lian's specialty?

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

Is Sungmi Lian enrolled in Medicare?

Yes. Sungmi Lian 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 Sungmi Lian accept?

Health plans from Providence Health Plan list Sungmi Lian 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 Sungmi Lian affiliated with any hospitals?

According to CMS data, Sungmi Lian is affiliated with Harrison Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Sungmi Lian was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.