Active NPI 1508835273 Individual Practitioner Male Practitioner

Dr. John S Ebisu , MD

Surgery • Kirkland, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Ebisu, MD is a registered healthcare professional specializing in Surgery in Kirkland, WA. Practice services are available at 12333 NE 130TH LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12333 Ne 130th Ln
Suite 420

Kirkland, WA 980347467

Telephone 2068382590

Fax 2062648689

Associated Practice Facility / Clinic

🏢 Evergreen Surgery Center, Llc Facility NPI 1689655334

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kirkland, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.2 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Kirkland, WA (818 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$181.00	$102.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$398.00	$186.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$260.00	$116.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	22	$176.00	$84.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	17	$95.00	$42.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	14	$174.00	$78.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	13	$105.00	$51.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$261.00	$115.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$331.00	$149.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$398.00	$171.92

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	80	28	$174.00	$77.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	26	$105.00	$48.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$261.00	$116.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$331.00	$146.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$398.00	$170.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$259.00	$119.02
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$176.00	$81.52

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	86	26	$174.00	$74.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	33	$105.00	$43.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$261.00	$111.84
49505 Repair of groin hernia (5 years or older)	17	17	$1332.06	$513.78
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$256.00	$103.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	32	$95.00	$39.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	36	$174.00	$73.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$261.00	$106.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	28	$105.00	$45.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$398.00	$163.20
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$176.00	$76.07
49505 Repair of groin hernia (5 years or older)	12	12	$1347.92	$470.63

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00027066

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Eric Pang , MD

Orthopaedic Surgery - Hand Surgery

NPI 1780927533

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 October 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2011

Registered at 12333 NE 130TH LN, SUITE 420, KIRKLAND, WA 980347467 (Tel: 2068382590)

📍

Updated Business Mailing Address October 07, 2011

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated October 07, 2011

Recorded as JOHN EBISU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Surgery (License #MD00027066 in WA)

🟢

Initial NPI Registration & Enumeration March 15, 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: 1508835273

Entity Type:

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

Enumeration Date: March 15, 2006

Last Update: October 07, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.