Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194746222 Individual Practitioner Female Practitioner

Michelle M Lydston , PA-C

Physician Assistant • Everett, WA

Professional Overview & Biography Verified Profile Summary

Michelle Lydston, PA-C is a registered healthcare professional specializing in Physician Assistant in Everett, WA. Practice services are available at 12800 BOTHELL EVERETT HWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy

Everett, WA 98208

Telephone 4253165150
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
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
61.2% 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 (2020)
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
28 28 $260.50 $101.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $261.18 $102.17
99202 New patient office or other outpatient visit, typically 20 minutes
15 15 $180.00 $73.05
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $179.08 $65.74
81003 Automated urinalysis test
12 12 $6.33 $2.05

Medical Specialties & State Licenses

CMS Verified: 2021-06-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004803

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 WA PA10004803

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8472219 (WA)

Secondary Practice Locations

8301 161st Ave Ne, Suite 105

Redmond, WA 980523858

Phone: 4258833333

19200 N Kelsey St

Monroe, WA 982721431

Phone: 3607947994

Practice Associates & Co-Workers

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

22 Associated Practitioners
Theresa Skurnik , ARNP

Nurse Practitioner

NPI 1053402248

Advanced Registered Nurse Practitioner

Gary Montgomery , PA-C

Physician Assistant

NPI 1104299601

Physician Assistant (Certified)

Dr. David Erickson , MD

Internal Medicine

NPI 1114028180

Doctor of Medicine (M.D.)

NPI 1134106867

Doctor of Medicine (M.D.)

Dr. Songyan Mao , MD

Family Medicine

NPI 1235160474

Doctor of Medicine (M.D.)

David Shanholtzer , NP

Nurse Practitioner

NPI 1235315706

Nurse Practitioner

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) June 16, 2021

Physician Assistant (License #PA10004803 in WA)

📍
Updated Practice Location September 13, 2018

Registered at 12800 BOTHELL EVERETT HWY, EVERETT, WA 98208 (Tel: 4253165150)

📍
Updated Business Mailing Address September 13, 2018

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8667472455)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2018

Physician Assistant (License #PA10004803 in WA)

NPI Profile Active February 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2011

Registered at 8301 161ST AVE NE, SUITE 105, REDMOND, WA 980523858 (Tel: 4258833333)

📍
Updated Business Mailing Address February 16, 2011

Registered at PO BOX 34036, SEATTLE, WA 981241036 (Tel: 4258993292)

👤
Provider Name / Credentials Updated February 16, 2011

Recorded as MICHELLE LYDSTON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2011

Physician Assistant (License #PA10004803 in WA)

🟢
Initial NPI Registration & Enumeration July 22, 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: 1194746222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2006
Last Update: June 16, 2021
Sole Proprietor: No

Mailing Address

Po Box 3360

Portland, OR 972083360

Phone: 8667472455

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.