PLASTIC & RECONSTRUCTIVE SURGEONS
NPI 1841610169
Plastic Surgery in Renton, WA

Active since April 25, 2014
17930 TALBOT RD S, RENTON, WA 98055(425) 228-3187(425) 228-7972 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2022, May 28, 2021 (2 updates tracked since 2021).

About Plastic & Reconstructive Surgeons NPPES

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

PLASTIC & RECONSTRUCTIVE SURGEONS (NPI 1841610169) is a healthcare organization registered as a plastic surgery in Renton, Washington and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Maple Valley and lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1841610169
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address17930 TALBOT RD SRenton, WA 98055-6230
Mailing Address17930 Talbot Rd SRenton, WA 98055-6230 · (425) 228-3187 · Fax (204) 228-7972
Fax(425) 228-7972
Organization SubpartNo
Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590
Enumeration DateApril 25, 2014
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1841610169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WA · 601484763
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.
17930 TALBOT RD S, Renton, WA 98055

Other Names 1

Doing Business AsPlastic & Reconstructive Surgeons

Secondary Practice Location 1

Location 123925 225th Way SE Ste BMaple Valley, WA 98038-5291 · Phone (425) 228-3187 · Fax (425) 228-7972

Other Identifiers 2

Medicaid2036917WA
Other326119WA · Wa L&i

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic & Reconstructive Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Plastic & Reconstructive Surgeons, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169
Physical Therapist in Private Practice97
Diagnostic Radiology64
Otolaryngology52
Occupational Therapist in Private Practice38
Qualified Audiologist26
Nurse Practitioner23
Obstetrics/Gynecology20
19 other specialties100

Nearest to this location (20)

See all 589
Plastic and Reconstructive Surgery
NPI 1538216296
17930 TALBOT RD S
Renton, WA 98055
(425) 228-3187
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053194134
17930 TALBOT RD S
Renton, WA 98055
(425) 228-3187
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1811381791
17930 TALBOT RD S
Renton, WA 98055
(425) 228-3187
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1003179300
17930 TALBOT RD S
Renton, WA 98055
(425) 228-3187
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1306263322
17930 TALBOT RD S
Renton, WA 98055
(425) 228-3187
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1043271927
4361 TALBOT RD S #102
Renton, WA 98055
(425) 226-1180
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1730404286
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1699162289
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1649419417
4011 TALBOT RD S SUITE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS0.1 mi
Sports Medicine
NPI 1558527143
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1235491135
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1023326071
4011 TALBOT RD S SUITE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1457175820
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1649637653
4011 TALBOT RD S STE 210
Renton, WA 98055
(425) 690-3602
✔ Accepts Medicare0.2 mi
Hand Surgery
NPI 1023089075
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS0.2 mi
Hand Surgery
NPI 1144429069
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.2 mi
Occupational Medicine
NPI 1831160886
4011 TALBOT RD S SUITE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Medicine and Rehabilitation
NPI 1215462361
4011 TALBOT RD S STE 300
Renton, WA 98055
(425) 656-5060
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1548991813
405 SW 41ST ST STE 407
Renton, WA 98057
(425) 291-1470
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1013632249
405 SW 41ST ST STE 407
Renton, WA 98057
(425) 291-1490
0.5 mi
See all 589 clinicians

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 Proliance Surgeons, Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons, Inc., P.S. is 1841610169. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider is doing business as Plastic & Reconstructive Surgeons.

Where is Proliance Surgeons, Inc., P.S. located?

Proliance Surgeons, Inc., P.S. is located at 17930 Talbot Rd S, Renton, WA 98055. The listed phone number is (425) 228-3187.

What is Proliance Surgeons, Inc., P.S.'s specialty?

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

Is Proliance Surgeons, Inc., P.S. enrolled in Medicare?

Yes. Proliance Surgeons, Inc., P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proliance Surgeons, Inc., P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons, Inc., P.S.. 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. The largest specialties are Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 5 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Proliance Surgeons, Inc., P.S. accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Proliance Surgeons, Inc., P.S. 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 Proliance Surgeons, Inc., P.S. was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.