Active NPI 1770783607 Individual Practitioner Male Practitioner

Dr. Christopher R Boone , MD

Orthopaedic Surgery • Bellevue, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Boone, MD is a certified Orthopaedic Surgery practicing in Bellevue, WA. With approximately 19 years of clinical experience since graduating from University Of Washington School Of Medicine in 2007, Dr. Boone delivers high-quality medical care to the local community at 3101 NORTHUP WAY STE 201.

Dr. Boone is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, ct scan of leg without contrast, musculoskeletal surgical navigational orthopedic operation using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3101 Northup Way Ste 201

Bellevue, WA 980041449

Telephone 4254553600

Fax 4254553920

Associated Practice Facility / Clinic

🏢 Proliance Surgeons Inc P S Facility NPI 1508893066

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bellevue, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -6.6 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

34 Specialists

Practicing in Bellevue, WA (707 Statewide)

Telehealth Adoption Rate

26.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boone (19 Years) 19 Yrs

Bellevue Specialty Average (25.6 Years) 25.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	896	21	$31.00	$17.41
73700 Ct scan of leg without contrast	219	194	$666.58	$149.92
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	181	168	$1035.00	$233.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	153	$252.05	$140.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	139	39	$14.00	$6.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$363.64	$180.21
99213 Established patient office or other outpatient visit, typically 15 minutes	126	111	$178.02	$100.33
73502 X-ray of hip, 2-3 views	100	98	$107.38	$55.53
27447 Replacement of knee joint, both sides of knee	93	86	$4969.87	$1382.61
27130 Replacement of thigh bone and hip joint with prosthesis	88	81	$4628.84	$1373.82
73564 X-ray of knee, 4 or more views	71	55	$114.56	$55.23
20610 Aspiration and/or injection of fluid from large joint	70	60	$224.03	$77.14
77073 Imaging for bone length assessment	59	58	$117.34	$52.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$241.81	$122.79
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$120.00	$62.83
99442 Telephone medical discussion with physician, 11-20 minutes	23	23	$175.78	$99.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$292.45	$136.76
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$96.26	$46.35
73562 X-ray of knee, 3 views	18	18	$103.67	$47.86
73721 Mri scan of leg joint without contrast	17	16	$1167.06	$167.60
73522 X-ray of both hips, 3-4 views	15	15	$126.40	$62.88
27446 Repair of knee joint	13	13	$3266.62	$1236.07
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	11	11	$5256.73	$1875.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	962	21	$31.00	$16.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	168	$249.00	$137.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	182	47	$14.00	$6.58
73502 X-ray of hip, 2-3 views	95	92	$105.00	$54.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$361.00	$177.00
20610 Aspiration and/or injection of fluid from large joint	90	71	$231.20	$80.46
99213 Established patient office or other outpatient visit, typically 15 minutes	90	81	$175.00	$99.30
73564 X-ray of knee, 4 or more views	88	69	$114.00	$54.90
27130 Replacement of thigh bone and hip joint with prosthesis	78	77	$4716.08	$1383.85
27447 Replacement of knee joint, both sides of knee	66	62	$5062.06	$1382.49
73700 Ct scan of leg without contrast	63	60	$571.30	$116.83
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	53	52	$1035.00	$233.47
73562 X-ray of knee, 3 views	42	36	$103.00	$47.85
73721 Mri scan of leg joint without contrast	21	21	$1181.00	$176.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$237.00	$123.28
77073 Imaging for bone length assessment	11	11	$117.00	$49.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	235	$249.00	$141.26
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	228	48	$14.00	$6.67
73502 X-ray of hip, 2-3 views	97	93	$105.00	$55.87
73564 X-ray of knee, 4 or more views	92	66	$114.00	$55.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$361.00	$183.28
99213 Established patient office or other outpatient visit, typically 15 minutes	71	69	$175.00	$99.99
27447 Replacement of knee joint, both sides of knee	67	65	$5024.00	$1362.09
20610 Aspiration and/or injection of fluid from large joint	65	55	$229.57	$80.41
27130 Replacement of thigh bone and hip joint with prosthesis	64	63	$4737.75	$1392.97
72100 X-ray of lower and sacral spine, 2-3 views	46	46	$95.00	$47.41
77073 Imaging for bone length assessment	36	35	$115.11	$52.65
73562 X-ray of knee, 3 views	23	19	$103.00	$48.61
72170 X-ray of pelvis, 1-2 views	19	19	$79.00	$32.81
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	17	17	$1035.00	$233.69
73522 X-ray of both hips, 3-4 views	15	15	$123.00	$63.86
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	11	11	$361.00	$112.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,122	22	$31.00	$17.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	195	$228.48	$142.49
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	207	46	$14.00	$6.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$341.75	$184.14
73502 X-ray of hip, 2-3 views	108	104	$105.00	$55.16
20610 Aspiration and/or injection of fluid from large joint	88	74	$234.09	$79.85
73564 X-ray of knee, 4 or more views	69	46	$114.00	$54.32
72100 X-ray of lower and sacral spine, 2-3 views	60	58	$95.00	$46.16
27130 Replacement of thigh bone and hip joint with prosthesis	55	53	$4701.00	$1399.74
27447 Replacement of knee joint, both sides of knee	55	51	$5092.51	$1412.27
77073 Imaging for bone length assessment	54	51	$117.00	$53.12
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$149.00	$101.78
73562 X-ray of knee, 3 views	31	23	$103.00	$47.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$155.00	$74.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$215.35	$124.81
72170 X-ray of pelvis, 1-2 views	15	14	$79.00	$32.52
73522 X-ray of both hips, 3-4 views	14	14	$123.00	$59.31
27279 Fusion of pelvic joint using imaging guidance	13	12	$1734.00	$949.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	608	15	$31.00	$18.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	309	64	$13.83	$6.91
99213 Established patient office or other outpatient visit, typically 15 minutes	155	126	$143.00	$82.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	104	$214.00	$118.14
20610 Aspiration and/or injection of fluid from large joint	91	78	$227.47	$73.34
73502 X-ray of hip, 2-3 views	75	73	$105.00	$50.86
73562 X-ray of knee, 3 views	74	49	$89.39	$44.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$214.00	$117.52
27130 Replacement of thigh bone and hip joint with prosthesis	55	54	$4722.38	$1478.87
77073 Imaging for bone length assessment	50	47	$117.00	$50.57
27447 Replacement of knee joint, both sides of knee	49	45	$5075.27	$1498.58
72100 X-ray of lower and sacral spine, 2-3 views	42	42	$95.00	$42.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$329.00	$176.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	32	$155.00	$77.63
72170 X-ray of pelvis, 1-2 views	30	27	$79.00	$31.55
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$209.00	$105.08
73721 Mri scan of leg joint without contrast	13	13	$1181.00	$189.85
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	13	12	$5028.00	$1818.90
27279 Fusion of pelvic joint using imaging guidance	12	12	$1806.25	$1006.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	515	12	$26.75	$18.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	424	42	$2.94	$1.60
99213 Established patient office or other outpatient visit, typically 15 minutes	352	250	$197.37	$79.77
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	158	34	$11.47	$6.79
73562 X-ray of knee, 3 views	142	112	$98.57	$40.96
73502 X-ray of hip, 2-3 views	141	116	$104.99	$44.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	121	$248.39	$116.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$287.09	$116.42
20610 Aspiration and/or injection of fluid from large joint	108	85	$211.83	$67.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$438.65	$175.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	75	71	$177.85	$57.84
20985 Computer-assisted surgery for muscle and bone procedure	68	64	$492.75	$158.27
72170 X-ray of pelvis, 1-2 views	63	51	$83.92	$34.37
27130 Replacement of thigh bone and hip joint with prosthesis	51	46	$6268.00	$1452.02
27447 Replacement of knee joint, both sides of knee	44	42	$6176.21	$1471.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$554.93	$213.55
27279 Fusion of pelvic joint using imaging guidance	26	25	$1854.46	$770.76
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$100.73	$40.84
73552 X-ray of thigh bone, minimum 2 views	21	16	$85.24	$34.72
36415 Insertion of needle into vein for collection of blood sample	17	16	$12.00	$2.94
73564 X-ray of knee, 4 or more views	15	15	$105.72	$46.53
73523 X-ray of both hips, minimum of 5 views	13	13	$179.50	$65.68
73560 X-ray of knee, 1-2 views	13	11	$73.92	$32.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	379	42	$2.20	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	368	262	$193.85	$78.26
73502 X-ray of hip, 2-3 views	165	142	$91.10	$39.68
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	122	28	$10.38	$7.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	117	111	$172.18	$58.51
20610 Aspiration and/or injection of fluid from large joint	111	72	$190.00	$60.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$286.13	$114.23
20985 Computer-assisted surgery for muscle and bone procedure	103	97	$487.96	$158.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	94	$284.73	$113.83
73562 X-ray of knee, 3 views	77	65	$97.89	$38.40
27130 Replacement of thigh bone and hip joint with prosthesis	63	59	$6627.05	$1452.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$435.52	$168.57
72170 X-ray of pelvis, 1-2 views	47	39	$72.91	$28.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$534.36	$214.23
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	31	12	$245.15	$146.17
73552 X-ray of thigh bone, minimum 2 views	27	14	$71.07	$27.85
27447 Replacement of knee joint, both sides of knee	27	27	$6194.83	$1470.36
73564 X-ray of knee, 4 or more views	26	26	$100.40	$41.52
73560 X-ray of knee, 1-2 views	23	19	$62.76	$27.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	20	$396.41	$99.11
27279 Fusion of pelvic joint using imaging guidance	20	19	$1648.00	$754.81
36415 Insertion of needle into vein for collection of blood sample	18	15	$11.79	$2.81
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$95.23	$37.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$17.73	$8.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	206	$186.03	$77.42
73502 X-ray of hip, 2-3 views	144	115	$93.55	$42.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	133	30	$10.00	$6.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$276.75	$112.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	13	$2.00	$1.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$421.30	$171.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	69	$165.50	$57.50
73501 X-ray of hip with pelvis, 1 view	64	54	$69.27	$29.61
20610 Aspiration and/or injection of fluid from large joint	63	38	$184.35	$57.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$517.25	$210.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$276.70	$110.76
20985 Computer-assisted surgery for muscle and bone procedure	56	55	$461.22	$152.07
27130 Replacement of thigh bone and hip joint with prosthesis	48	47	$5901.33	$1435.90
27245 Treatment of broken neck of thigh bone with bone implant	30	29	$4053.48	$1267.39
73562 X-ray of knee, 3 views	20	18	$68.33	$30.83
73552 X-ray of thigh bone, minimum 2 views	20	14	$67.74	$28.18
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	19	$3600.95	$1256.62
73560 X-ray of knee, 1-2 views	18	12	$66.79	$30.02
27279 Fusion of pelvic joint using imaging guidance	18	17	$1476.19	$729.01
73564 X-ray of knee, 4 or more views	17	17	$84.88	$38.15
73610 X-ray of ankle, minimum of 3 views	17	12	$67.25	$30.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$350.25	$142.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	14	$337.63	$96.59
27447 Replacement of knee joint, both sides of knee	13	13	$5649.13	$1342.50
73030 X-ray of shoulder, minimum of 2 views	12	11	$62.81	$26.63
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$90.63	$38.64
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$259.50	$104.73

Medical Specialties & State Licenses

CMS Verified: 2023-09-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD60335476

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Trauma

NUCC Taxonomy Code: 207XX0801X

State License WA MD60335476

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2034190 (WA)

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

12911 120th Ave Ne, Kirkland, WA 980343062

Phone: 4258234226

Secondary Practice Locations

510 8th Ave Ne Ste 200

Issaquah, WA 980295436

Phone: 4253923030

18100 Ne Union Hill Rd Ste 330

Redmond, WA 980523330

Phone: 4254553600

515 Minor Ave Ste 200

Seattle, WA 981042133

Phone: 4254553600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners

Dr. Mary Thayer , MD

Orthopaedic Surgery - Hand Surgery

NPI 1134549272

Doctor of Medicine (M.D.)

Dr. James Bruckner , MD

Orthopaedic Surgery

NPI 1154392942

Doctor of Medicine (M.D.)

Shelby Dobbs , PA-C

Physician Assistant - Surgical

NPI 1184669491

Physician Assistant (Certified)

Dr. Grant Lohse , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205033784

Doctor of Medicine (M.D.)

Michael Young , PA

Physician Assistant - Surgical

NPI 1225181902

Physician Assistant

Dr. Silas Marshall , MD

Orthopaedic Surgery

NPI 1225217011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location February 23, 2023

Registered at 3101 NORTHUP WAY STE 201, BELLEVUE, WA 980041449 (Tel: 4254553600)

📍

Updated Practice Location October 15, 2019

Registered at 1231 116TH AVE NE STE 750, BELLEVUE, WA 98004 (Tel: 4254553600)

📍

Updated Business Mailing Address October 15, 2019

Registered at 510 8TH AVE NE STE 320, ISSAQUAH, WA 980295436 (Tel: 4254553600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Orthopaedic Surgery (License #MD60335476 in WA)

📍

Updated Business Mailing Address August 07, 2019

Registered at PO BOX 5845, PORTLAND, OR 972285845 (Tel: 4254629800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Orthopaedic Surgery (License #MD60335476 in WA)

✅

NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2018

Registered at 1427 116TH AVE NE, BELLEVUE, WA 98004 (Tel: 4256429800)

📍

Updated Business Mailing Address January 18, 2018

Registered at 1427 116TH AVE NE, BELLEVUE, WA 980043035 (Tel: 4254629800)

👤

Provider Name / Credentials Updated January 18, 2018

Recorded as CHRISTOPHER BOONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2018

Orthopaedic Surgery (License #4301090520 in MI)

✅

NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2016

Registered at 1427 116TH AVE NE, BELLEVUE, WA 98004 (Tel: 4256429800)

📍

Updated Business Mailing Address December 05, 2016

Registered at 1427 116TH AVE NE, BELLEVUE, WA 980043035 (Tel: 4254629800)

👤

Provider Name / Credentials Updated December 05, 2016

Recorded as CHRISTOPHER BOONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Orthopaedic Surgery (License #4301090520 in MI)

🟢

Initial NPI Registration & Enumeration July 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770783607

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2007

Last Update: September 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 8th Ave Ne Ste 320

Issaquah, WA 980295436

Phone: 4254553600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.