DOUGLAS A PORTELANCE MD
NPI 1932291127
Internal Medicine in Kirkland, WA

Q: What is Douglas Portelance's NPI number?

The NPI number for Douglas Portelance is 1932291127. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Douglas Portelance's specialty?

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

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment

90.18/100

CMS Quality Rating

12333 NE 130TH LN, STE 310, KIRKLAND, WA 98034(425) 899-6700(425) 899-6701 Get Directions Write a Review

NPPES record last updated: November 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas A Portelance Md NPPES

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

DOUGLAS A PORTELANCE MD (NPI 1932291127) is an individual internal medicine provider in Kirkland, Washington, licensed in Washington (MD00024648) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of University Of Washington School Of Medicine (1984).

NPPES Registry Identity

NPI1932291127

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDOUGLAS A PORTELANCECredential: MD

Location Address12333 NE 130TH LN, STE 310Kirkland, WA 98034

Mailing AddressPo Box 110456, Ms 13739Tacoma, WA 98411-0456 · (425) 899-6700 · Fax (425) 899-6701

Phone(425) 899-6700

Fax(425) 899-6701

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1984

Enumeration DateSeptember 28, 2006

Last NPPES UpdateNovember 12, 2012

✔ NPI 1932291127 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 · MD00024648

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.

12333 NE 130TH LN, Kirkland, WA 98034

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Other Identifiers 4

Medicare PINGAB19699WA

Other0552POWA · Regence Health

Other145685WA · Labor & Industry

Medicare UPINA06211

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

Douglas A Portelance 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 ID9335138593

PECOS Enrollment IDI20040625000483

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 13

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 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.

564 services317 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.

241 services241 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.

110 services99 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

109 services108 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

81 services55 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

35 services35 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

30 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services23 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.

20 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

15 services15 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

11 services11 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500084

Location14701 179th Ave SEMonroe, WA 98272 · Snohomish 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 98034 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.

90.18/100

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

Individually scored

Quality

92.76

Promoting Interoperability

100

Improvement Activities

Cost

74.51

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%29 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

95%42 patients4/55-star benchmark: 100%

Breast Cancer Screening

85%261 patients4/55-star benchmark: 93%

Cervical Cancer Screening

39%204 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

0%310 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

72%888 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

71%638 patients4/55-star benchmark: 91%

Dementia: Cognitive Assessment

0%23 patients

Diabetes: Eye Exam

14%169 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

13%169 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

90%2,891 patients4/55-star benchmark: 100%

e-Prescribing

99%354 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

29%830 patients2/55-star benchmark: 100%

Functional Status Assessments for Heart Failure

0%40 patients

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

32%1,463 patients2/55-star benchmark: 98%

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

48%1,183 patients2/55-star benchmark: 97%

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

40%1,120 patients3/55-star benchmark: 61%

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

Patients combinedPopulations: 97% · 1,137 patients

Patients screened: 98% · 1,137 patients

69%42 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%589 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

66%929 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 865 patients

Patients totalRate: 18% · 865 patients

14%865 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 2

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

27 suppliers71 claims174 services$5.88 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers18 claims22 services$1.08 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.

KIRSTEN MYHRES M.S.

Genetic Counselor, MS

12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034

King County (425) 899-2221

DR. MICHAEL A TOWBIN M.D.

Surgery

12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034

King County (425) 899-5500

MS. KATHERINE LOUISE BATTS PA-C

Physician Assistant (Surgical)

12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034

King County (425) 250-4700

KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2

Clinic/Center (Ambulatory Surgical)

12333 NE 130TH LN, #420
KIRKLAND, WA 98034

King County (425) 899-5500

VIRGINIA RETKA MSPA

Audiologist

12333 NE 130TH LN
KIRKLAND, WA 98034

King County (425) 899-5050

BARBARA G HALLUM ARNP

Nurse Practitioner

12333 NE 130TH LN, #302
KIRKLAND, WA 98034

King County (425) 899-0555

DR. ANNE MCLAURIN LIKOSKY MD

Dermatology

12333 NE 130TH LN, SUITE 330
KIRKLAND, WA 98034

King County (425) 899-3376

DR. LINDY S KLAFF M.D.

Internal Medicine (Pulmonary Disease)

12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034

King County (425) 899-6972

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 Douglas Portelance's NPI number?

The NPI number for Douglas Portelance is 1932291127. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Douglas Portelance located?

Douglas Portelance practices at 12333 NE 130th Ln Ste 310, Kirkland, WA 98034. The listed phone number is (425) 899-6700.

What is Douglas Portelance's specialty?

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

Is Douglas Portelance enrolled in Medicare?

Yes. Douglas Portelance 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 Douglas Portelance accept?

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

According to CMS data, Douglas Portelance is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Portelance was last updated on November 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.