SALMON CREEK PLASTIC SURGERY PC
NPI 1831253426
Plastic Surgery in Vancouver, WA

Active since December 20, 2006
13712 NE 10TH AVE, VANCOUVER, WA 98685(360) 823-0860(360) 828-1407 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Salmon Creek Plastic Surgery Pc NPPES

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

SALMON CREEK PLASTIC SURGERY PC (NPI 1831253426) is a healthcare organization registered as a plastic surgery in Vancouver, Washington and active in the NPI registry since December 2006. The organization lists Richard Kenneth Green, Physician And Owner, as its authorized official.

NPPES Registry Identity

NPI1831253426
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSALMON CREEK PLASTIC SURGERY PC
Location Address13712 NE 10TH AVEVancouver, WA 98685-2628
Mailing Address13712 Ne 10th AveVancouver, WA 98685-2628 · (360) 823-0860 · Fax (360) 828-1407
Fax(360) 828-1407
Organization SubpartNo
Authorized OfficialRichard Kenneth GreenPhysician And Owner · (360) 574-7622
Enumeration DateDecember 20, 2006
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1831253426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
13712 NE 10TH AVE, Vancouver, WA 98685

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salmon Creek Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20070803000600Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Salmon Creek Plastic Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Plastic and Reconstructive Surgery
NPI 1124218722
13712 NE 10TH AVE
Vancouver, WA 98685
(360) 823-0860
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1215935218
13712 NE 10TH AVE
Vancouver, WA 98685
(360) 823-0860
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1376962316
13317 NE 12TH AVE STE 107
Vancouver, WA 98685
(360) 350-4794
✔ PECOS0.2 mi
Plastic and Reconstructive Surgery
NPI 1619409968
1610 C ST STE 207
Vancouver, WA 98663
(360) 450-4359
✔ PECOS✔ Accepts Medicare4.9 mi

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 Salmon Creek Plastic Surgery PC's NPI number?

The NPI number for Salmon Creek Plastic Surgery PC is 1831253426. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Salmon Creek Plastic Surgery PC located?

Salmon Creek Plastic Surgery PC is located at 13712 NE 10th Ave, Vancouver, WA 98685. The listed phone number is (360) 823-0860.

What is Salmon Creek Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Salmon Creek Plastic Surgery PC enrolled in Medicare?

Yes. Salmon Creek Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

When is Salmon Creek Plastic Surgery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Salmon Creek Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Salmon Creek Plastic Surgery PC. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Salmon Creek Plastic Surgery PC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Salmon Creek Plastic Surgery PC 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 Salmon Creek Plastic Surgery PC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.