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Active NPI 1669611380 Individual Practitioner Female Practitioner

Tatyana B Peck , PA-C

Physician Assistant • Bothell, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tatyana Peck, PA-C is a certified Physician Assistant practicing in Bothell, WA. With approximately 18 years of clinical experience since completing medical education in 2008, Tatyana Peck delivers high-quality medical care to the local community at 10634 E RIVERSIDE DR.

Tatyana Peck maintains professional affiliations with Ellie Mental Health Of Estero, Ellie Mental Health Of Naples At 75 Vineyards Blvd, Sound and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10634 E Riverside Dr
Suite 130

Bothell, WA 980113757

Telephone 4258065021
Fax 4254863949
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bothell, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +8.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Bothell, WA (3774 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
38.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peck (18 Years) 18 Yrs
Bothell Specialty Average (9.9 Years) 9.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
87 23 $172.85 $116.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
35 11 $50.00 $13.70
99213 Established patient office or other outpatient visit, typically 15 minutes
31 11 $122.15 $81.25

Medical Specialties & State Licenses

CMS Verified: 2025-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA TA60056707

Definition to come...

Hospital & Practice Group Affiliations

Sound

1600 E Olive St, Seattle, WA 981222735

Phone: 2063022200

Ellie Mental Health Of Estero

22904 Lyden Dr, Estero, FL 339287048

Phone: 2394943951

Ellie Mental Health Of Naples At 75 Vineyards Blvd

75 Vineyards Blvd, Naples, FL 341194748

Phone: 2393260796

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Aliya Zafer , MD

Psychiatry & Neurology - Psychiatry

NPI 1093238255

Doctor of Medicine (M.D.)

Cesario Larios , MA, LMHC-A

Counselor - Mental Health

NPI 1245707744

Master of Arts, LMHCA

Kristin Hummel , MA

Counselor - Mental Health

NPI 1306089941

Master of Arts

Dr. Syed Mustafa , MD

Psychiatry & Neurology - Psychiatry

NPI 1316954894

Doctor of Medicine (M.D.)

NPI 1437903739
Dr. Syed Mustafa , MD

Psychiatry & Neurology - Psychiatry

NPI 1609883180

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2012

Registered at 10634 E RIVERSIDE DR, SUITE 130, BOTHELL, WA 980113757 (Tel: 4258065021)

📍
Updated Business Mailing Address November 05, 2012

Registered at PO BOX 1287, BOTHELL, WA 980411287 (Tel: 4258065021)

👤
Provider Name / Credentials Updated November 05, 2012

Recorded as TATYANA PECK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Physician Assistant (License #TA60056707 in WA)

🟢
Initial NPI Registration & Enumeration February 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669611380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2009
Last Update: March 07, 2025
Sole Proprietor: No

Mailing Address

Po Box 1287

Bothell, WA 980411287

Phone: 4258065021

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.