Active NPI 1063449072 Individual Practitioner Male Practitioner

Shawn Erik Tedford , PA-C

Physician Assistant • Bremerton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shawn Tedford, PA-C is a certified Physician Assistant practicing in Bremerton, WA. With approximately 28 years of clinical experience since completing medical education in 1998, Shawn Tedford delivers high-quality medical care to the local community at 1225 CAMPBELL WAY STE 201.

Shawn Tedford is affiliated with Liberty Orthopedics Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1225 Campbell Way Ste 201

Bremerton, WA 983103323

Telephone 3603771355

Associated Practice Facility / Clinic

🏢 Kitsap Chest Consultants Pllc Facility NPI 1033130745

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bremerton, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +19.8 yrs vs City Avg

City Avg: 8.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

39 Specialists

Practicing in Bremerton, WA (3774 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tedford (28 Years) 28 Yrs

Bremerton Specialty Average (8.2 Years) 8.2 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	163	160	$368.11	$108.08
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$260.00	$75.57
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$260.00	$76.62

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	231	207	$365.96	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$259.41	$75.96
99442 Telephone medical discussion with physician, 11-20 minutes	20	19	$258.30	$76.66
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$161.00	$47.69

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	144	129	$364.42	$108.30
99213 Established patient office or other outpatient visit, typically 15 minutes	79	74	$258.54	$76.54
99442 Telephone medical discussion with physician, 11-20 minutes	27	27	$258.41	$76.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	23	20	$44.00	$13.02
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$159.40	$47.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$318.00	$95.61
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	11	11	$2822.18	$131.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	133	$205.00	$78.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$297.00	$111.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$125.00	$48.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$198.00	$60.57
35301 Removal of blood clot and portion of artery of neck	13	13	$3192.00	$150.72
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$121.00	$48.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$294.00	$96.18
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$42.00	$13.28

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	71	66	$297.00	$92.08
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$203.84	$64.36
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	16	$41.28	$13.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$295.65	$92.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$108.00	$33.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$450.00	$140.54
35301 Removal of blood clot and portion of artery of neck	13	13	$3185.23	$156.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$198.54	$60.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$398.46	$125.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$376.00	$118.36
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$121.00	$39.27

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	126	113	$296.11	$92.99
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$200.93	$63.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$296.00	$92.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$199.25	$62.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$40.75	$12.69
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$278.18	$86.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$451.09	$140.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36589 Removal of central venous catheter for infusion	18	18	$454.39	$140.68
36821 Relocation of arm vein with connection to arm artery, open procedure	16	16	$1883.56	$92.09
35301 Removal of blood clot and portion of artery of neck	15	14	$3214.40	$157.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$197.71	$60.74
35301 Removal of blood clot and portion of artery of neck	20	20	$3215.05	$136.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$291.18	$85.12
36589 Removal of central venous catheter for infusion	11	11	$455.00	$137.29

Medical Specialties & State Licenses

CMS Verified: 2021-01-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003756

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

NUCC Taxonomy Code: 363A00000X

State License NM PA2007-0004

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NM PA2007-0004

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NM PA2007-0004

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1001498 (WA)

Commercial Insurance / Payer ID Labor & Industries

205198 (WA)

Commercial Insurance / Payer ID Regence Blueshield

8918TE

Commercial Insurance / Payer ID Crime Victims Comp

8942304 (WA)

Commercial Insurance / Payer ID Railroad Medicare

P00330803

Hospital & Practice Group Affiliations

Liberty Orthopedics Ps

20696 Bond Rd Ne, Poulsbo, WA 983709025

Phone: 3609300222

Liberty Orthopedics Ps

20696 Bond Rd Ne, Poulsbo, WA 983709025

Practice Associates & Co-Workers

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

8 Associated Practitioners

Sharon Armeni , ARNP

Nurse Practitioner - Adult Health

NPI 1265464507

Advanced Registered Nurse Practitioner

Michael Chernekoff , PA-C

Physician Assistant

NPI 1356429716

Physician Assistant (Certified)

Dr. Kirill Gelfenbeyn , DO

Anesthesiology

NPI 1518352541

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Anderson , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1669439527

Doctor of Medicine (M.D.)

Dr. Ryan Foresman , MD

Anesthesiology

NPI 1801055637

Doctor of Medicine (M.D.)

Dr. Robert King , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1811054018

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (License #PA2007-0004 in NM)

📍

Updated Practice Location January 18, 2021

Registered at 1225 CAMPBELL WAY STE 201, BREMERTON, WA 983103323 (Tel: 3603771355)

📍

Updated Business Mailing Address January 18, 2021

Registered at 1225 CAMPBELL WAY STE 201, BREMERTON, WA 983103323 (Tel: 3603771355)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2021

Physician Assistant (License #PA10003756 in WA)

✅

NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2013

Registered at 5400 GIBSON BLVD SE, ALBUQUERQUE, NM 871084729 (Tel: 5053428400)

📍

Updated Business Mailing Address May 01, 2013

Registered at 5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NEW MEXICO 87109 (Tel: 5053428400)

👤

Provider Name / Credentials Updated May 01, 2013

Recorded as SHAWN TEDFORD, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Physician Assistant (License #PA2007-0004 in NM)

🟢

Initial NPI Registration & Enumeration June 26, 2006

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: 1063449072

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1225 Campbell Way Ste 201

Bremerton, WA 983103323

Phone: 3603771355

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.