Active NPI 1487632667 Individual Practitioner Male Practitioner

Tanner James Vick , PA-C

Physician Assistant - Surgical • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tanner Vick, PA-C is a certified Physician Assistant - Surgical practicing in Everett, WA. With approximately 22 years of clinical experience since completing medical education in 2004, Tanner Vick delivers high-quality medical care to the local community at 1330 ROCKEFELLER AVE.

Tanner Vick is affiliated with Providence Health And Services- Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, new patient outpatient office visit, 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

1330 Rockefeller Ave
Ste 520

Everett, WA 982011684

Telephone 4252975200

Fax 4252975210

Associated Practice Facility / Clinic

🏢 Everett Cardiovascular And Thoracic Surgical Associates Facility NPI 1528013828

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Everett, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +7.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Everett, WA (612 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vick (22 Years) 22 Yrs

Everett Specialty Average (15.0 Years) 15.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	15	$4.00	$1.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$343.00	$94.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$276.00	$77.28
20550 Injection into tendon or ligament	13	12	$192.77	$52.81

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	41	33	$279.00	$80.33
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$189.00	$55.24
11042 Removal of skin and tissue, 20.0 sq cm or less	18	14	$172.00	$48.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$177.00	$57.09
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$242.00	$78.56
11042 Removal of skin and tissue, 20.0 sq cm or less	16	12	$160.00	$51.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$283.23	$113.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$222.00	$71.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	41	$170.00	$57.94
11042 Removal of skin and tissue, 20.0 sq cm or less	26	20	$153.00	$52.09
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$233.00	$79.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$282.81	$115.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$152.07	$61.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	45	$126.00	$44.59
11042 Removal of skin and tissue, 20.0 sq cm or less	41	28	$152.00	$53.86
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$184.00	$65.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	51	$125.00	$43.89
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$182.00	$63.96
11042 Removal of skin and tissue, 20.0 sq cm or less	31	27	$153.00	$53.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$266.00	$93.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$187.00	$65.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	71	$120.00	$43.59
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$170.00	$60.34
11042 Removal of skin and tissue, 20.0 sq cm or less	34	22	$147.00	$53.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$59.00	$21.63
97597 Removal of tissue from wound, 20.0 sq cm or less	13	11	$56.00	$20.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$179.00	$65.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	69	$119.00	$42.76
11042 Removal of skin and tissue, 20.0 sq cm or less	26	24	$146.00	$52.26
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$170.00	$61.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$59.00	$21.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$179.00	$63.97

Medical Specialties & State Licenses

CMS Verified: 2021-04-28

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License WA PA10004747

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA PA10004747

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8412868 (WA)

Commercial Insurance / Payer ID L&i Provider Number

191975 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services- Washington

4112 Harbour Pointe Blvd Sw, Mukilteo, WA 982755457

Phone: 4253476330

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252975234

Providence Health And Services- Washington

21601 76th Ave W, Edmonds, WA 980267507

Phone: 4256404000

Providence Health And Services- Washington

1321 Colby Ave, Everett, WA 982011665

Phone: 4252612000

Providence Health And Services- Washington

12800 Bothell Everett Hwy, Everett, WA 982086642

Practice Associates & Co-Workers

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

10 Associated Practitioners

Abdullah Rahmani , BS, PA

Physician Assistant - Surgical

NPI 1053773309

Bachelor of Science, Physician Assistant

Mayra Talley , PA

Physician Assistant

NPI 1083335087

Physician Assistant

George Litz , PA-C

Physician Assistant - Surgical

NPI 1154638401

Physician Assistant (Certified)

Dr. Peter Brant-Zawadzki , MD

Surgery - Vascular Surgery

NPI 1215134697

Doctor of Medicine (M.D.)

Gladys Galiano-Lanuza , PA

Physician Assistant

NPI 1417647504

Physician Assistant

Dr. Kshitij Desai , MD, MPHS

Surgery - Vascular Surgery

NPI 1497214530

Doctor of Medicine (M.D.), MPHS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2015

Registered at 1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 982011684 (Tel: 4252975200)

📍

Updated Business Mailing Address November 17, 2015

Registered at PO BOX 3360, PROVIDENCE HEALTH & SERVICES, PORTLAND, OR 972083360 (Tel: 8663662983)

👤

Provider Name / Credentials Updated November 17, 2015

Recorded as TANNER VICK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2015

Physician Assistant (License #PA10004747 in WA)

🟢

Initial NPI Registration & Enumeration January 06, 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: 1487632667

Entity Type:

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

Enumeration Date: January 06, 2006

Last Update: April 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3360, Providence Health & Services

Portland, OR 972083360

Phone: 8663662983

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.