DR. JASON P PEHLING DDS, MS
NPI 1962457036
Dentist - General Practice in Seattle, WA

Active since May 24, 2006Opted out of Medicare · through Dec 17, 2026
2111 N NORTHGATE WAY, STE. 221, SEATTLE, WA 98133(206) 363-8240(206) 363-8301 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jason P Pehling Dds, Ms NPPES

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

DR. JASON P PEHLING DDS, MS (NPI 1962457036) is an individual general practice provider in Seattle, Washington, licensed in Washington (DE00008992) and active in the NPI registry since May 2006. He has opted out of Medicare through December 17, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962457036
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON P PEHLINGCredential: DDS, MS
Location Address2111 N NORTHGATE WAY, STE. 221Seattle, WA 98133
Mailing Address2111 N Northgate Way, Ste. 221Seattle, WA 98133 · (206) 363-8240 · Fax (206) 363-8301
Fax(206) 363-8301
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 24, 2008
NPI 1962457036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00008992
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2111 N NORTHGATE WAY, Seattle, WA 98133

Other Identifiers 11

Other155609WA · Labor And Industries
Medicare PINGAB26856WA
Other60054WA · Aetna Medical
OtherSB930WA · Premera Medical
Other77777WA · Delta Dental
Other932000Regence
Other93200WA · Blue Cross Blue Shield
Other62308WA · Cigna
Other91131WA · Carpenter's Health Plan
Other47570WA · Premera Dental
Other60054WA · Aetna Dental

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jason P Pehling Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2018 through December 17, 2026.

Opt-Out Effective DateDecember 17, 2018
Opt-Out In Effect ThroughDecember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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.

Other Providers at the Same Location NPPES 13

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

Home Health
2111 N NORTHGATE WAY, STE 103
SEATTLE, WA 98133
Dentist (General Practice)
2111 N NORTHGATE WAY, STE 221
SEATTLE, WA 98133
Social Worker (Clinical)
2111 N NORTHGATE WAY, SUITE 217
SEATTLE, WA 98133
Dentist (Periodontics)
2111 N NORTHGATE WAY
SEATTLE, WA 98133
Home Health
2111 N NORTHGATE WAY, SUITE 103
SEATTLE, WA 98133
Internal Medicine
2111 N NORTHGATE WAY, #217
SEATTLE, WA 98133
Mechanotherapist
2111 N NORTHGATE WAY, #221
SEATTLE, WA 98133
Counselor (Mental Health)
2111 N NORTHGATE WAY, SUITE 217
SEATTLE, WA 98133

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 Jason Pehling's NPI number?

The NPI number for Jason Pehling is 1962457036. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Jason Pehling located?

Jason Pehling practices at 2111 N Northgate Way Ste. 221, Seattle, WA 98133. The listed phone number is (206) 363-8240.

What is Jason Pehling's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jason Pehling enrolled in Medicare?

No. Jason Pehling has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jason Pehling was last updated on March 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.