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PHILIP W KING MD
NPI 1932192234
Internal Medicine - Nephrology in Bellevue, WA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
99.21/100
CMS Quality Rating
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004(425) 453-8406(425) 453-4173 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip W King Md NPPES

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

PHILIP W KING MD (NPI 1932192234) is an individual nephrology provider in Bellevue, Washington, licensed in Washington (MD00039235) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1932192234
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePHILIP W KINGCredential: MD
Location Address1370 116TH AVE NE, SUITE 209Bellevue, WA 98004-3825
Mailing Address1370 116th Ave Ne, Suite 209Bellevue, WA 98004-3825 · (425) 453-8406 · Fax (425) 453-4173
Phone(425) 453-8406
Fax(425) 453-4173
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 23, 2005
Last NPPES UpdateJune 28, 2019
✔ NPI 1932192234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WA · MD00039235
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00039235 (WA)
1370 116TH AVE NE, Bellevue, WA 98004
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Other Identifiers 2

Medicaid1116425WA
Other110238679WA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Philip W King Md 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 ID3577603497
PECOS Enrollment IDI20091228000007
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
283 services86 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.
117 services74 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.
116 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services48 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
58 services15 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
55 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

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 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
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.

99.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Promoting Interoperability100
Improvement Activities40
Cost83.57

Reported Quality Measures

Breast Cancer Screening
68%44 patients3/55-star benchmark: 93%
Cervical Cancer Screening
26%42 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
35%117 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
79%126 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
7%56 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%56 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%522 patients4/55-star benchmark: 100%
e-Prescribing
100%41 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
51%163 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%269 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
21%234 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
42%108 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 100 patients
95%100 patients
Provide Patients Electronic Access to Their Health Information
100%105 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%152 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 13% · 149 patients
Patients totalRate: 21% · 149 patients
19%149 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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers50 claims4,740 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers29 claims4,230 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers34 claims6,060 services$0.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers36 claims36 services$17.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers86 claims103 services$12.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

BELLEVUE PODIATRY INC.
Podiatrist (Foot & Ankle Surgery)
1370 116TH AVE NE, STE. 206
BELLEVUE, WA 98004
King County (425) 450-0565
DR. MELODY C. LIBATIQUE DC
Chiropractor
1370 116TH AVE NE
BELLEVUE, WA 98004
King County (424) 454-0199
STERN CENTER FOR AESTHETIC SURGERY INC
Clinic/Center (Ambulatory Surgical)
1370 116TH AVE NE, SUITE 102
BELLEVUE, WA 98004
King County (425) 455-9100
EUGENE DELL KATO DDS
Dentist (General Practice)
1370 116TH AVE NE, #104
BELLEVUE, WA 98004
King County (425) 454-8261
DR. LORNE D. TRIMBLE DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1370 116TH AVE NE, STE 101
BELLEVUE, WA 98004
King County (425) 453-6975
HONGPING REN LAC
Acupuncturist
1370 116TH AVE NE, SUITE 208
BELLEVUE, WA 98004
King County (425) 646-6888
DR. LARRY WILLIAM EINSPAHR MD
Psychiatry & Neurology (Psychiatry)
1370 116TH AVE NE, SUITE 201
BELLEVUE, WA 98004
King County (425) 455-2818
LIN LI M.D.
Internal Medicine (Nephrology)
1370 116TH AVE NE, SUITE 209
BELLEVUE, WA 98004
King County (425) 453-8406

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 Philip King's NPI number?

The NPI number for Philip King is 1932192234. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Philip King located?

Philip King practices at 1370 116th Ave NE Suite 209, Bellevue, WA 98004. The listed phone number is (425) 453-8406.

What is Philip King's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Philip King enrolled in Medicare?

Yes. Philip King 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 Philip King accept?

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

According to CMS data, Philip King is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Philip King was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.