Active NPI 1255352118 Individual Practitioner Male Practitioner

Dr. Michael Mena , MD

Internal Medicine • Kirkland, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mena, MD is a certified Internal Medicine practicing in Kirkland, WA. With approximately 29 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1997, Dr. Mena delivers high-quality medical care to the local community at 12040 NE 128TH ST # MS 105.

Dr. Mena is affiliated with King County Public Hospital District No 2 and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12040 Ne 128th St # Ms 105

Kirkland, WA 980343013

Telephone 4258992560

Fax 4258992079

Associated Practice Facility / Clinic

🏢 King County Public Hospital District No 2 Facility NPI 1891883435

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kirkland, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +7.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

72 Specialists

Practicing in Kirkland, WA (3169 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mena (29 Years) 29 Yrs

Kirkland Specialty Average (21.4 Years) 21.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	51	$265.00	$119.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$515.00	$181.39
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	42	19	$76.00	$31.79
99239 Hospital discharge day management, more than 30 minutes	33	33	$272.00	$121.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$184.00	$83.15
99291 Critical care, first 30-74 minutes	16	13	$566.00	$220.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	241	88	$252.00	$126.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	38	$175.00	$84.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	59	$490.00	$184.66
99239 Hospital discharge day management, more than 30 minutes	59	58	$259.00	$122.92
99291 Critical care, first 30-74 minutes	16	13	$539.00	$224.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	244	94	$252.98	$102.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	38	$175.92	$71.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	50	$492.04	$209.89
99239 Hospital discharge day management, more than 30 minutes	46	46	$259.00	$112.33
99291 Critical care, first 30-74 minutes	36	28	$539.00	$205.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	245	89	$252.07	$105.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	43	$175.00	$64.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	75	$490.00	$209.73
99239 Hospital discharge day management, more than 30 minutes	52	51	$259.00	$110.84
99291 Critical care, first 30-74 minutes	31	16	$539.00	$234.07
99220 Hospital observation care, typically 70 minutes	18	18	$448.00	$194.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	65	$252.00	$113.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	50	$174.00	$79.04
99239 Hospital discharge day management, more than 30 minutes	36	35	$259.00	$114.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$490.00	$221.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	213	118	$252.00	$110.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	87	$174.00	$77.83
99239 Hospital discharge day management, more than 30 minutes	111	109	$259.00	$115.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$490.00	$216.42
99291 Critical care, first 30-74 minutes	42	18	$542.00	$234.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	11	$95.00	$42.06
99217 Hospital observation care on day of discharge	17	17	$176.00	$78.79
99220 Hospital observation care, typically 70 minutes	16	16	$448.00	$198.55
99238 Hospital discharge day management, 30 minutes or less	11	11	$175.00	$78.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	300	158	$252.00	$108.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	246	127	$174.00	$75.45
99239 Hospital discharge day management, more than 30 minutes	123	120	$259.00	$113.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	69	$490.00	$203.81
99291 Critical care, first 30-74 minutes	55	32	$542.00	$215.88
99238 Hospital discharge day management, 30 minutes or less	32	32	$175.00	$75.83
99217 Hospital observation care on day of discharge	17	16	$176.00	$74.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	127	$174.00	$75.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	277	132	$252.00	$107.31
99239 Hospital discharge day management, more than 30 minutes	106	104	$259.00	$111.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	68	$490.00	$211.48
99291 Critical care, first 30-74 minutes	44	25	$542.00	$230.99
99238 Hospital discharge day management, 30 minutes or less	31	31	$175.00	$76.44
99217 Hospital observation care on day of discharge	15	15	$176.00	$73.00
99220 Hospital observation care, typically 70 minutes	12	12	$448.00	$179.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00041043

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

King County Public Hospital District No 2

12040 Ne 128th St, Kirkland, WA 980343013

Phone: 4258992560

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Ettore Palazzo , MD

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NPI 1093797581

Doctor of Medicine (M.D.)

Dr. Johnson Loh , MD

Internal Medicine

NPI 1114909090

Doctor of Medicine (M.D.)

Dr. Brenda Flake , MD

Obstetrics & Gynecology

NPI 1154412617

Doctor of Medicine (M.D.)

Dr. Charles Ma , MD

Hospitalist

NPI 1205377579

Doctor of Medicine (M.D.)

Dr. Tony Yen , MD

Internal Medicine

NPI 1225012735

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2011

Registered at 12040 NE 128TH ST # MS 105, KIRKLAND, WA 980343013 (Tel: 4258992560)

📍

Updated Business Mailing Address August 19, 2011

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

👤

Provider Name / Credentials Updated August 19, 2011

Recorded as MICHAEL MENA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Internal Medicine (License #MD00041043 in WA)

🟢

Initial NPI Registration & Enumeration July 23, 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: 1255352118

Entity Type:

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

Enumeration Date: July 23, 2006

Last Update: August 19, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34036

Seattle, WA 981241036

Phone: 4258993292

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.