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JAMES P PEPKA D. O.
NPI 1821136086
Family Medicine in Auburn, WA

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
3830 A ST SE STE 204, AUBURN, WA 98002(253) 804-9190(253) 804-5797 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James P Pepka D. O. NPPES

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

JAMES P PEPKA D. O. (NPI 1821136086) is an individual family medicine provider in Auburn, Washington, licensed in Washington (OP00001248) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1987).

NPPES Registry Identity

NPI1821136086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES P PEPKACredential: D. O.
Location Address3830 A ST SE STE 204Auburn, WA 98002-8611
Mailing Address614 S 17th StRenton, WA 98055-4262 · (360) 739-4020 · Fax (253) 804-9757
Phone(253) 804-9190
Fax(253) 804-5797
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1987
Enumeration DateFebruary 1, 2007
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1821136086 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 · OP00001248
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.
3830 A ST SE STE 204, Auburn, WA 98002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, 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

James P Pepka 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 ID4688820277
PECOS Enrollment IDI20120815000042
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

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.
97 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98002 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.

Other Providers at the Same Location NPPES 2

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

SOUTH AUBURN MEDICAL CLINIC INC
Family Medicine
3830 A ST SE STE 204
AUBURN, WA 98002
King County (253) 804-9190
RESTART CHIROPRACTIC LLC
Chiropractor
3830 A ST SE STE 204
AUBURN, WA 98002
King County (253) 245-1919

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 James Pepka's NPI number?

The NPI number for James Pepka is 1821136086. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is James Pepka located?

James Pepka practices at 3830 A St SE Ste 204, Auburn, WA 98002. The listed phone number is (253) 804-9190.

What is James Pepka's specialty?

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

Is James Pepka enrolled in Medicare?

Yes. James Pepka 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 James Pepka accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Pepka 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.

When was this NPI record last updated?

The NPPES record for James Pepka was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.