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Active NPI 1013482892 Individual Practitioner Male Practitioner

Zachary Crofford Weaver , PA-C

Physician Assistant - Surgical • Edmonds, WA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Zachary Weaver, PA-C is a registered Physician Assistant - Surgical practitioner in Edmonds, WA. With approximately 8 years of clinical practice since completing medical education in 2018, Zachary Weaver provides healthcare services at the registered practice location at 21616 76TH AVE W STE 201A.

Zachary Weaver is affiliated with Swedish Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of gallbladder using an endoscope, follow-up hospital inpatient care per day, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21616 76th Ave W Ste 201a

Edmonds, WA 980267512

Telephone 4256733400
Fax 4256733401
Associated Practice Facility / Clinic
🏢 Swedish Health Services Facility NPI 1720033145

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Edmonds, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Edmonds, WA (612 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weaver (8 Years) 8 Yrs
Edmonds Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
47562 Removal of gallbladder using an endoscope
12 12 $407.00 $90.31

Medical Specialties & State Licenses

CMS Verified: 2020-09-18
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License WA PA60922697

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013482892 (WA)

Hospital & Practice Group Affiliations

Swedish Health Services

21616 76th Ave W, Edmonds, WA 980267512

Swedish Health Services

21601 76th Ave W, Edmonds, WA 980267507

Phone: 4256404000

Swedish Health Services

7320 216th St Sw, Edmonds, WA 980268006

Practice Associates & Co-Workers

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

6 Associated Practitioners
Lauren Hunter , PA-C

Physician Assistant - Surgical

NPI 1316582695

Physician Assistant (Certified)

NPI 1457771636

Doctor of Medicine (M.D.)

NPI 1477084770

Doctor of Medicine (M.D.)

Dr. Bennett Johnson , MD

Surgery - Trauma Surgery

NPI 1629481379

Doctor of Medicine (M.D.)

NPI 1851359467

Doctor of Medicine (M.D.)

Jeffrey Robin , PA-C

Physician Assistant - Surgical

NPI 1861422826

Physician Assistant (Certified)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location September 18, 2020

Registered at 21616 76TH AVE W STE 201A, EDMONDS, WA 980267512 (Tel: 4256733400)

📍
Updated Business Mailing Address September 18, 2020

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2020

Physician Assistant (License #PA60922697 in WA)

📍
Updated Business Mailing Address August 26, 2019

Registered at 1111 W 34TH ST STE 200, AUSTIN, TX 787051916 (Tel: 5124544588)

📍
Updated Practice Location July 31, 2019

Registered at 1111 W 34TH ST STE 200, AUSTIN, TX 787051916 (Tel: 5124544588)

📍
Updated Business Mailing Address July 31, 2019

Registered at PO BOX 10597, AUSTIN, TX 787661597 (Tel: 5124855889)

📍
Updated Practice Location March 19, 2019

Registered at 5200 HARRY HINES BLVD, DALLAS, TX 752357709 (Tel: 2145907266)

📍
Updated Business Mailing Address March 19, 2019

Registered at PO BOX 660599, DALLAS, TX 752660599

👤
Provider Name / Credentials Updated March 19, 2019

Recorded as ZACHARY WEAVER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Physician Assistant (License #PA12532 in TX)

NPI Profile Active October 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2018

Registered at 502 SAGINAW CT, ALLEN, TX 750138521 (Tel: 9724156050)

📍
Updated Business Mailing Address October 09, 2018

Registered at 502 SAGINAW CT, ALLEN, TX 750138521 (Tel: 9724156050)

👤
Provider Name / Credentials Updated October 09, 2018

Recorded as ZACHARY WEAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Internal Medicine (License #686170 in TX)

🟢
Initial NPI Registration & Enumeration October 09, 2018

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: 1013482892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2018
Last Update: September 18, 2020
Sole Proprietor: No

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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.