MARCEL D BUDICA P.A.
NPI 1861863441
Physician Assistant in Bellevue, WA

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
3100 NORTHUP WAY, UW MEDICINE EASTSIDE SPECIALTY CENTER, BELLEVUE, WA 98004(877) 520-5000(206) 598-6797 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcel D Budica P.a. NPPES

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

MARCEL D BUDICA P.A. (NPI 1861863441) is an individual physician assistant in Bellevue, Washington and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861863441
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARCEL D BUDICACredential: P.A.
Location Address3100 NORTHUP WAY, UW MEDICINE EASTSIDE SPECIALTY CENTERBellevue, WA 98004-1467
Mailing Address325 9th Ave, Harborview Medical Center, Po Box 359750Seattle, WA 98104-2420 · (206) 744-9888 · Fax (206) 744-9773
Fax(206) 598-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 8, 2015
NPI 1861863441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 NORTHUP WAY, Bellevue, WA 98004

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

Marcel D Budica P.a. 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 ID8921364761
PECOS Enrollment IDI20171109003311
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 4

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.

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
53 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services45 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.
41 services33 patients
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.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · 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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Pharmacy (Community/Retail Pharmacy)
3100 NORTHUP WAY
BELLEVUE, WA 98004
Family Medicine
3100 NORTHUP WAY
BELLEVUE, WA 98004
Occupational Therapist
3100 NORTHUP WAY
BELLEVUE, WA 98004
Urology
3100 NORTHUP WAY
BELLEVUE, WA 98004
Physical Therapist
3100 NORTHUP WAY
BELLEVUE, WA 98004
Clinic/Center (Infusion Therapy)
3100 NORTHUP WAY
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 Marcel Budica's NPI number?

The NPI number for Marcel Budica is 1861863441. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Marcel Budica located?

Marcel Budica practices at 3100 Northup Way Uw Medicine Eastside Specialty Center, Bellevue, WA 98004. The listed phone number is (877) 520-5000.

What is Marcel Budica's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marcel Budica enrolled in Medicare?

Yes. Marcel Budica 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 Marcel Budica accept?

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

According to CMS data, Marcel Budica is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Marcel Budica was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.