ANSLEM O OPITOKE M.D.
NPI 1902095128
Internal Medicine - Geriatric Medicine in Kirkland, WA

Q: What is Anslem Opitoke's NPI number?

The NPI number for Anslem Opitoke is 1902095128. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Q: What is Anslem Opitoke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Anslem Opitoke was last updated on June 17, 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.

Active since October 24, 2007PECOS EnrolledAccepts Medicare Assignment

82.01/100

CMS Quality Rating

1521 NE 128TH ST STE 100, KIRKLAND, WA 98101(425) 899-6800(425) 899-6818 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Anslem O Opitoke M.d. NPPES

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

ANSLEM O OPITOKE M.D. (NPI 1902095128) is an individual geriatric medicine provider in Kirkland, Washington, licensed in Washington (60555449) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1902095128

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameANSLEM O OPITOKECredential: M.D.

Location Address1521 NE 128TH ST STE 100Kirkland, WA 98101

Mailing Address1521 Ne 128th St Ste 100Kirkland, WA 98101 · (425) 899-6800 · Fax (425) 899-6818

Phone(425) 899-6800

Fax(425) 899-6818

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 24, 2007

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1902095128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in WA · 60555449

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 231032 (MA)

Also ListedHospitalistTaxonomy 208M00000X · License 01099046A (IN), C5250 (KY)

1521 NE 128TH ST STE 100, Kirkland, WA 98101

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Accepted Insurance

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

Anslem O Opitoke M.d. 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 ID42308611

PECOS Enrollment IDI20150724010321

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.

Medicare Billing Reassignments

Medicare enrollment records show Anslem Opitoke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No 2

6.8 mi

Family Medicine

10131 MAIN ST
Bothell, WA 98011

Reassigned Medicare billing, Washington enrollment
1,074 clinicians in this Medicare group

NPI 1659814762 (425) 485-3955

Deaconess Hospital Inc

1,867 mi

Clinical

801 FELSTEAD RD
Evansville, IN 47712

Reassigned Medicare billing, Indiana and Kentucky enrollments
Also billed through NPI 1629162573 (Kentucky)
717 clinicians in this Medicare group

NPI 1942183769 (812) 471-4611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 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.

483 services244 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.

219 services170 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

90 services90 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.

67 services57 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

47 services44 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

45 services39 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

35 services33 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

30 services25 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

23 services16 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number190160

Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County

Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

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.

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.

82.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

81.67

Promoting Interoperability

100

Improvement Activities

Cost

58.37

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%47 patients

Breast Cancer Screening

84%38 patients4/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

0%258 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

48%90 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

59%153 patients3/55-star benchmark: 91%

Dementia: Cognitive Assessment

0%78 patients

Diabetes: Eye Exam

36%22 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

5%22 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,581 patients4/55-star benchmark: 100%

e-Prescribing

100%147 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

47%530 patients2/55-star benchmark: 100%

Functional Status Assessments for Heart Failure

0%62 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%502 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

17%272 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

27%320 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 96% · 406 patients

95%406 patients

Provide Patients Electronic Access to Their Health Information

100%308 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%294 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 22% · 512 patients

Patients totalRate: 21% · 512 patients

12%512 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers36 claims123 services$6.17 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers12 claims21 services$0.94 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$35.01 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$14.70 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$784.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers33 claims34 services$67.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anslem Opitoke's NPI number?

The NPI number for Anslem Opitoke is 1902095128. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Anslem Opitoke located?

Anslem Opitoke practices at 1521 NE 128th St Ste 100, Kirkland, WA 98101. The listed phone number is (425) 899-6800.

What is Anslem Opitoke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Anslem Opitoke enrolled in Medicare?

Yes. Anslem Opitoke 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 Anslem Opitoke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anslem Opitoke reassigns Medicare benefits to 2 organizations: King County Public Hospital District No 2 (Bothell, WA) and Deaconess Hospital Inc (Evansville, IN). 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 Anslem Opitoke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anslem Opitoke accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield and Premera Blue Cross Blue Shield of Alaska list Anslem Opitoke 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 Anslem Opitoke affiliated with any hospitals?

According to CMS data, Anslem Opitoke is affiliated with Deaconess Hospital Inc, Glenwood Regional Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Anslem Opitoke was last updated on June 17, 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.