Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215946892 Individual Practitioner Male Practitioner

Dr. Ryan K Phasouk , MD

Family Medicine • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Phasouk, MD is a registered healthcare professional specializing in Family Medicine in Everett, WA. Practice services are available at 3927 RUCKER AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3927 Rucker Ave

Everett, WA 982014833

Telephone 4253395422
Fax 4253395444
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1154318103

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
203 Specialists

Practicing in Everett, WA (5714 Statewide)

Telehealth Adoption Rate
17.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
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
46 45 $308.75 $128.58

Medical Specialties & State Licenses

CMS Verified: 2022-04-04
Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License WA MD60513668

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License IL 036116544

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2040577 (WA)
Commercial Insurance / Payer ID Controlled Substance Lice
336077643 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Raynald Im , MD

Family Medicine

NPI 1003136979

Doctor of Medicine (M.D.)

Dr. Kurt Duffens , MD

Internal Medicine

NPI 1013003045

Doctor of Medicine (M.D.)

Mary Mitchell , PA

Physician Assistant - Medical

NPI 1013990860

Physician Assistant

NPI 1033342050

Family Nurse Practitioner (Board Certified), Doctor of Nursing Practice

Fantahun Tedla , PA-C

Physician Assistant

NPI 1033548144

Physician Assistant (Certified)

Dr. Leslie Greene , MD

Family Medicine

NPI 1043478993

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 04, 2022

Registered at 3927 RUCKER AVE, EVERETT, WA 982014833 (Tel: 4253395422)

📍
Updated Business Mailing Address April 04, 2022

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253048431)

📍
Updated Practice Location December 08, 2020

Registered at 450 S KITSAP BLVD, PORT ORCHARD, WA 983663773 (Tel: 3607446275)

📍
Updated Business Mailing Address December 08, 2020

Registered at 450 S KITSAP BLVD, PORT ORCHARD, WA 983663773 (Tel: 3607446275)

NPI Profile Active April 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2014

Registered at 2473 MCFARLAND RD, ROCKFORD, IL 611076824 (Tel: 7796969202)

📍
Updated Business Mailing Address April 25, 2014

Registered at PO BOX 1567, ROCKFORD, IL 611100067

👤
Provider Name / Credentials Updated April 25, 2014

Recorded as RYAN PHASOUK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2014

Family Medicine (License #036116544 in IL)

🟢
Initial NPI Registration & Enumeration August 05, 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: 1215946892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: April 04, 2022
Sole Proprietor: No

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4253048431

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.