ALEXANDER GOUGOUTAS MD
NPI 1821154790
Surgery - Plastic and Reconstructive Surgery in Seattle, WA
About Alexander Gougoutas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDER GOUGOUTAS MD (NPI 1821154790) is an individual plastic and reconstructive surgery provider in Seattle, Washington, licensed in Washington (MD60276102) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexander Gougoutas 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alexander Gougoutas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alexander Gougoutas's NPI number?
The NPI number for Alexander Gougoutas is 1821154790. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Alexander Gougoutas located?
Alexander Gougoutas practices at 1229 Madison St # 1660, Seattle, WA 98104. The listed phone number is (206) 860-5582.
What is Alexander Gougoutas's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Alexander Gougoutas enrolled in Medicare?
Yes. Alexander Gougoutas 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.
Which organizations bill Medicare for Alexander Gougoutas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Gougoutas reassigns Medicare benefits to 2 organizations: The Polyclinic PLLC (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Gougoutas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexander Gougoutas accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alexander Gougoutas 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 Alexander Gougoutas was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alexander Gougoutas, MD · NPI 1821154790
Plastic and Reconstructive Surgery physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1821154790 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** MD60276102 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1229 MADISON ST # 1660, Seattle, WA 98104-3586
- **Phone:** (206) 860-5582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Polyclinic PLLC (NPI 1174594634, Seattle, WA); Optum Care Washington PLLC (NPI 1831186766, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2006
## Record status
- **NPPES last updated:** June 15, 2026
- **Other identifiers:** Medicaid 1821154790 (WA); Other 8909038 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1821154790) · Data from the CMS NPPES public registry.