Active NPI 1033548144 Individual Practitioner Male Practitioner

Fantahun Mulugeta Tedla , PA-C

Physician Assistant • Everett, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Fantahun Tedla, PA-C is a certified Physician Assistant practicing in Everett, WA. With approximately 13 years of clinical experience since completing medical education in 2013, Fantahun Tedla delivers high-quality medical care to the local community at 3927 RUCKER AVE.

Fantahun Tedla is affiliated with King County Public Hospital District No 2 and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, 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

3927 Rucker Ave

Everett, WA 98201

Telephone 4253395422

Fax 4253395444

Associated Practice Facility / Clinic

🏢 Optum Care Washington Pllc Facility NPI 1154318103

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -0.2 yrs vs City Avg

City Avg: 13.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

145 Specialists

Practicing in Everett, WA (3774 Statewide)

Telehealth Adoption Rate

15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tedla (13 Years) 13 Yrs

Everett Specialty Average (13.2 Years) 13.2 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
99285 Emergency department visit for life threatening or functioning severity	38	38	$1257.92	$144.68
99284 Emergency department visit with moderate level of medical decision making	34	33	$961.88	$102.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$276.00	$108.98
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$190.00	$84.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	54	54	$1108.00	$106.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	31	31	$585.00	$64.34
99284 Emergency department visit with moderate level of medical decision making	24	24	$1108.00	$108.68
99285 Emergency department visit for life threatening or functioning severity	19	18	$1633.00	$135.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	85	85	$50.00	$25.00
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	85	85	$170.84	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$282.75	$114.28
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$195.75	$78.93
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	24	24	$108.73	$51.31
36415 Insertion of needle into vein for collection of blood sample	20	19	$7.25	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$379.75	$148.86
71046 X-ray of chest, 2 views	13	11	$75.73	$26.09
81001 Manual urinalysis test with examination using microscope, automated	12	12	$7.25	$3.17
87086 Bacterial colony count, urine	12	12	$18.25	$8.07
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$14.50	$6.47
84484 Troponin (protein) analysis, quantitative	11	11	$26.25	$12.47

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	56	55	$276.00	$91.61
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	47	44	$205.50	$100.00
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$185.23	$65.29
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	22	22	$102.75	$48.98
36415 Insertion of needle into vein for collection of blood sample	18	18	$7.25	$2.82
80053 Blood test, comprehensive group of blood chemicals	12	12	$22.25	$9.63
81001 Manual urinalysis test with examination using microscope, automated	12	12	$7.25	$3.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	57	$180.78	$61.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$265.08	$88.76
71046 X-ray of chest, 2 views	15	14	$69.07	$24.31
36415 Insertion of needle into vein for collection of blood sample	15	15	$7.25	$2.78
81001 Manual urinalysis test with examination using microscope, automated	15	15	$7.25	$3.25
87086 Bacterial colony count, urine	12	12	$18.25	$8.79
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$14.50	$6.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$168.38	$57.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60464318

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 WV 623

Definition to come...

Hospital & Practice Group Affiliations

King County Public Hospital District No 2

14720 Main St Ne, Duvall, WA 980198460

Phone: 4257884889

King County Public Hospital District No 2

12710 Totem Lake Blvd Ne, Kirkland, WA 980342907

Phone: 4258214040

King County Public Hospital District No 2

16916 140th Ave Ne, Woodinville, WA 980726957

King County Public Hospital District No 2

1909 214th St Se, Bothell, WA 980214412

Phone: 4254884988

King County Public Hospital District No 2

14841 179th Ave Se, Monroe, WA 982721127

Secondary Practice Locations

419 Brooks St

Charleston, WV 253011811

Phone: 3043886004

419 Brooks St

Charleston, WV 253011811

Phone: 3043886004

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

Dr. Paula Ruedebusch , FNP-BC, DNP

Nurse Practitioner

NPI 1033342050

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

Dr. Leslie Greene , MD

Family Medicine

NPI 1043478993

Doctor of Medicine (M.D.)

Dr. John Goodman , MD

Surgery

NPI 1053328997

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 15, 2019

Registered at 3927 RUCKER AVE, EVERETT, WA 98201 (Tel: 4253395422)

📍

Updated Business Mailing Address November 15, 2019

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253395422)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Physician Assistant (License #PA60464318 in WA)

✅

NPI Profile Active December 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2013

Registered at 419 BROOKS ST, CHARLESTON, WV 253011811 (Tel: 3043886004)

📍

Updated Business Mailing Address December 01, 2013

Registered at 870 ROXALANA HILLS DR, DUNBAR, WV 250641954 (Tel: 2063517883)

👤

Provider Name / Credentials Updated December 01, 2013

Recorded as FANTAHUN TEDLA, P.A-C

🎓

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

Physician Assistant (License #623 in WV)

🟢

Initial NPI Registration & Enumeration November 08, 2013

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: 1033548144

Entity Type:

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

Enumeration Date: November 08, 2013

Last Update: November 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4253395422

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.