Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265963771 Individual Practitioner Male Practitioner

Dr. Michael Stephen Chisum , MD

Surgery • Issaquah, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Chisum, MD is a certified Surgery practicing in Issaquah, WA. With approximately 9 years of clinical experience since graduating from University Of Florida College Of Medicine in 2017, Dr. Chisum delivers high-quality medical care to the local community at 751 NE BLAKELY DR STE 4020.

Dr. Chisum is affiliated with Swedish Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include new 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

751 Ne Blakely Dr Ste 4020

Issaquah, WA 980296201

Telephone 4253137124
Fax 4253137072
Associated Practice Facility / Clinic
🏢 Swedish Health Services Facility NPI 1720033145

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Issaquah, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -5.3 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Issaquah, WA (818 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chisum (9 Years) 9 Yrs
Issaquah Specialty Average (14.3 Years) 14.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $507.00 $183.87

Medical Specialties & State Licenses

CMS Verified: 2022-12-01
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD61170311

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2084042 (WA)

Hospital & Practice Group Affiliations

Swedish Health Services

751 Ne Blakely Dr, Issaquah, WA 980296201

Phone: 4253137070

Practice Associates & Co-Workers

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

15 Associated Practitioners
Ashleigh Mueller , PA-C

Physician Assistant - Surgical

NPI 1023762572

Physician Assistant (Certified)

NPI 1104115658

Doctor of Medicine (M.D.)

Josiah Owinyo , PA-C

Physician Assistant - Surgical

NPI 1114575966

Physician Assistant (Certified)

Kelsey Pearson , PA-C

Physician Assistant - Surgical

NPI 1194122002

Physician Assistant (Certified)

Melissa Payson , PA-C

Physician Assistant - Surgical

NPI 1306877477

Physician Assistant (Certified)

Megan Lupa , PA-C

Physician Assistant - Surgical

NPI 1346671070

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 01, 2022

Registered at 751 NE BLAKELY DR STE 4020, ISSAQUAH, WA 980296201 (Tel: 4253137124)

📍
Updated Business Mailing Address December 01, 2022

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

👤
Provider Name / Credentials Updated December 01, 2022

Recorded as MICHAEL CHISUM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Surgery (License #MD61170311 in WA)

NPI Profile Active March 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2017

Registered at 4415 SW 34TH ST, APT. 607, GAINESVILLE, FL 326081442 (Tel: 2392535653)

📍
Updated Business Mailing Address March 26, 2017

Registered at 4415 SW 34TH ST, APT. 607, GAINESVILLE, FL 326081442 (Tel: 2392535653)

👤
Provider Name / Credentials Updated March 26, 2017

Recorded as MICHAEL CHISUM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2017

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: 1265963771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2017
Last Update: December 01, 2022
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.