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OLYMPIA INTERNAL MEDICINE ASSOC.,LLC
NPI 1922031855
Internal Medicine in Olympia, WA

Active since July 07, 2006CLIA 50D0709589 · Microscopy
525 LILLY RD NE, OLYMPIA, WA 98506(360) 493-4410(360) 493-5511 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Olympia Internal Medicine Assoc.,llc NPPES

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

OLYMPIA INTERNAL MEDICINE ASSOC.,LLC (NPI 1922031855) is a healthcare organization registered as an internal medicine in Olympia, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Gerald J Fay, Owner, as its authorized official.

NPPES Registry Identity

NPI1922031855
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOLYMPIA INTERNAL MEDICINE ASSOC.,LLC
Location Address525 LILLY RD NEOlympia, WA 98506
Mailing Address525 Lilly Rd NeOlympia, WA 98506 · (360) 493-4410 · Fax (360) 493-5511
Phone(360) 493-4410
Fax(360) 493-5511
Organization SubpartNo
Authorized OfficialGerald J FayOwner · (360) 493-4410
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 17, 2009
✔ NPI 1922031855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · 00018118
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
525 LILLY RD NE, Olympia, WA 98506
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Other Identifiers 3

Medicaid7095938WA
Medicare UPINA08397
Medicare ID-Type UnspecifiedGAB10871WA

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Olympia Internal Medicine Assoc.,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Olympia Internal Medicine Assoc.,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Widrow, MD
Internal Medicine
NPI 1942341417
525 LILLY RD NE
Olympia, WA 98516
(360) 493-4410
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0709589

Olympia Internal Medicine Associates PLLC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0709589
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert J. Widrow
Laboratory Phone(360) 763-5681
Laboratory LocationOlympia Internal Medicine Associates PLLC3701 Ensign Rd NE Ste B, Olympia, WA 98506
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Reported Quality Measures

Colorectal Cancer Screening
4%112 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%87 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
61%28 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%2,400 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,012 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%1,422 patients2/55-star benchmark: 61%
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.

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 Olympia Internal Medicine Assoc.,llc's NPI number?

The NPI number for Olympia Internal Medicine Assoc.,llc is 1922031855. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Olympia Internal Medicine Assoc.,llc located?

Olympia Internal Medicine Assoc.,llc is located at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-4410.

What is Olympia Internal Medicine Assoc.,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Olympia Internal Medicine Assoc.,llc enrolled in Medicare?

Yes. Olympia Internal Medicine Assoc.,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympia Internal Medicine Assoc.,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Olympia Internal Medicine Assoc.,llc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olympia Internal Medicine Assoc.,llc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0709589) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Olympia Internal Medicine Assoc.,llc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympia Internal Medicine Assoc.,llc 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 Olympia Internal Medicine Assoc.,llc was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.