SUZANNE M WILSON DPM
NPI 1811984248
Podiatrist in Bellevue, WA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
76.8/100
CMS Quality Rating
1609 116TH AVE NE, BELLEVUE, WA 98004(425) 283-5093(425) 283-5093 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suzanne M Wilson Dpm NPPES

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

SUZANNE M WILSON DPM (NPI 1811984248) is an individual podiatrist in Bellevue, Washington, licensed in Washington (PO00000472) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of California School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1811984248
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameSUZANNE M WILSONCredential: DPM
Location Address1609 116TH AVE NEBellevue, WA 98004
Mailing Address14212 Ambaum Blvd Sw, #103Burien, WA 98166-1449 · (206) 242-6553 · Fax (206) 246-0468
Fax(425) 283-5093
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1991
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMarch 22, 2017
NPI 1811984248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in WA · PO00000472
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1609 116TH AVE NE, Bellevue, WA 98004

Other Identifiers 3

Medicare UPINU35103
Medicaid1098623WA
Medicare ID-Type Unspecified217000654

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

Suzanne M Wilson Dpm 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 ID9436144516
PECOS Enrollment IDI20040504000525
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 13

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 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.
157 services80 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
122 services59 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
112 services35 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
111 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
92 services62 patients
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.
52 services40 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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.

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.

76.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.61
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
0%480 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
21%53 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%102 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%102 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
74%1,975 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%906 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
7%1,388 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%215 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 478 patients
Patients totalRate: 0% · 478 patients
0%478 patients5/55-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 3

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

Podiatrist
1609 116TH AVE NE
BELLEVUE, WA 98004
Podiatrist
1609 116TH AVE NE
BELLEVUE, WA 98004
Podiatrist
1609 116TH AVE NE
BELLEVUE, WA 98004

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 Suzanne Wilson's NPI number?

The NPI number for Suzanne Wilson is 1811984248. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Suzanne Wilson located?

Suzanne Wilson practices at 1609 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 283-5093.

What is Suzanne Wilson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Suzanne Wilson enrolled in Medicare?

Yes. Suzanne Wilson 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 Suzanne Wilson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Suzanne Wilson 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 Suzanne Wilson affiliated with any hospitals?

According to CMS data, Suzanne Wilson is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Suzanne Wilson was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.