LEAH MARIE MARCOTTE M.D.
NPI 1962778951
Internal Medicine in Renton, WA

Active since March 24, 2012PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
64 RAINIER AVE S, RENTON, WA 98057(425) 224-2144(425) 341-9653 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Marie Marcotte M.d. NPPES

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

LEAH MARIE MARCOTTE M.D. (NPI 1962778951) is an individual internal medicine provider in Renton, Washington, licensed in Washington (MD60488974) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2012).

NPPES Registry Identity

NPI1962778951
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLEAH MARIE MARCOTTECredential: M.D.
Location Address64 RAINIER AVE SRenton, WA 98057-2047
Mailing Address64 Rainier Ave SRenton, WA 98057-2047 · (425) 224-2144 · Fax (425) 341-9653
Fax(425) 341-9653
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2012
Enumeration DateMarch 24, 2012
Last NPPES UpdateAugust 3, 2016
NPI 1962778951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WA · MD60488974 Licensed in WA · ML 60288352
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.
64 RAINIER AVE S, Renton, WA 98057

Accepted 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

Leah Marie Marcotte 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 ID6305162736
PECOS Enrollment IDI20150804006172
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 4

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 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.
96 services87 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.
78 services51 patients
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.
60 services41 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.
50 services50 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers18 claims56 services$6.60 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 7

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

Internal Medicine
64 RAINIER AVE S
RENTON, WA 98057
Physician Assistant
64 RAINIER AVE S
RENTON, WA 98057
Internal Medicine (Geriatric Medicine)
64 RAINIER AVE S
RENTON, WA 98057
Nurse Practitioner (Family)
64 RAINIER AVE S
RENTON, WA 98057
Internal Medicine
64 RAINIER AVE S
RENTON, WA 98057
Family Medicine
64 RAINIER AVE S
RENTON, WA 98057
Pharmacy (Compounding Pharmacy)
64 RAINIER AVE S
RENTON, WA 98057

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 Leah Marcotte's NPI number?

The NPI number for Leah Marcotte is 1962778951. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Leah Marcotte located?

Leah Marcotte practices at 64 Rainier Ave S, Renton, WA 98057. The listed phone number is (425) 224-2144.

What is Leah Marcotte's specialty?

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

Is Leah Marcotte enrolled in Medicare?

Yes. Leah Marcotte 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 Leah Marcotte accept?

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

According to CMS data, Leah Marcotte is affiliated with University Of Washington Medical Ctr and Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Leah Marcotte was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.