Active NPI 1972537918 Individual Practitioner Male Practitioner

Dr. Edward L Jansen , MD

Internal Medicine • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Jansen, MD is a registered healthcare professional specializing in Internal Medicine in Lacey, WA. Practice services are available at 2555 MARVIN RD NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2555 Marvin Rd Ne
Pmg Sw Wa Hawks Prairie Im

Lacey, WA 985163138

Telephone 3609234600

Fax 3609234663

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Facility NPI 1871007906

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lacey, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Lacey, WA (3169 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% 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 (2023)

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	1,013	442	$368.00	$127.07
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	283	251	$23.00	$7.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$372.00	$128.43
99213 Established patient office or other outpatient visit, typically 15 minutes	92	87	$260.00	$90.19
99495 Transitional care management services for problem of at least moderate complexity	40	37	$588.00	$203.78
G0008 Administration of influenza virus vaccine	34	33	$33.82	$30.37
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$42.00	$14.44
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	30	30	$85.00	$75.81
99496 Transitional care management services for problem of high complexity	16	14	$796.00	$276.00

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	1,110	525	$341.00	$129.08
99213 Established patient office or other outpatient visit, typically 15 minutes	209	170	$242.00	$91.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	177	161	$22.12	$8.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$349.00	$132.56
G0008 Administration of influenza virus vaccine	63	62	$30.00	$29.92
90662 Influenza vaccine split virus, preservative free	60	59	$85.00	$68.43
93000 Routine ekg using at least 12 leads including interpretation and report	43	43	$38.00	$14.31
99495 Transitional care management services for problem of at least moderate complexity	27	25	$550.00	$209.44
G0009 Administration of pneumococcal vaccine	25	25	$45.00	$30.17
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$454.00	$278.31
99496 Transitional care management services for problem of high complexity	21	15	$741.00	$281.81
81003 Automated urinalysis test	19	17	$8.00	$2.23
36415 Insertion of needle into vein for collection of blood sample	15	15	$5.00	$2.94

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	1,134	531	$331.00	$131.37
99213 Established patient office or other outpatient visit, typically 15 minutes	323	257	$233.00	$92.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	119	$21.00	$8.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$339.00	$135.44
90662 Influenza vaccine split virus, preservative free	51	51	$85.00	$63.73
93000 Routine ekg using at least 12 leads including interpretation and report	50	49	$37.00	$15.10
G0008 Administration of influenza virus vaccine	50	50	$30.00	$17.42
99495 Transitional care management services for problem of at least moderate complexity	33	31	$531.00	$210.52
99496 Transitional care management services for problem of high complexity	30	27	$717.00	$285.05
36415 Insertion of needle into vein for collection of blood sample	23	19	$5.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$464.00	$176.98
81003 Automated urinalysis test	18	16	$8.00	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$429.00	$170.41

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	724	413	$266.00	$110.63
99213 Established patient office or other outpatient visit, typically 15 minutes	394	282	$184.00	$76.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	156	145	$21.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$283.00	$118.98
36415 Insertion of needle into vein for collection of blood sample	54	42	$5.00	$2.99
99442 Telephone medical discussion with physician, 11-20 minutes	36	35	$184.00	$75.97
G0008 Administration of influenza virus vaccine	34	34	$30.00	$16.51
90662 Influenza vaccine split virus, preservative free	32	32	$85.00	$58.88
99495 Transitional care management services for problem of at least moderate complexity	31	30	$452.00	$189.78
99441 Telephone medical discussion with physician, 5-10 minutes	31	31	$111.00	$46.10
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$42.00	$17.47
99496 Transitional care management services for problem of high complexity	24	21	$598.00	$250.30
G0009 Administration of pneumococcal vaccine	18	18	$45.00	$16.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$172.00	$117.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$403.00	$168.79

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	1,122	508	$266.00	$108.99
99213 Established patient office or other outpatient visit, typically 15 minutes	471	323	$182.00	$74.85
G0008 Administration of influenza virus vaccine	159	159	$30.00	$16.68
90662 Influenza vaccine split virus, preservative free	152	152	$85.00	$54.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	150	138	$21.00	$8.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$285.00	$117.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	12	$41.00	$16.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	56	11	$3.00	$1.79
99495 Transitional care management services for problem of at least moderate complexity	47	42	$402.00	$162.91
93000 Routine ekg using at least 12 leads including interpretation and report	47	45	$42.00	$17.29
G0009 Administration of pneumococcal vaccine	30	30	$45.00	$16.68
99496 Transitional care management services for problem of high complexity	24	21	$567.00	$234.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$357.00	$147.44
81003 Automated urinalysis test	19	17	$8.00	$2.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$172.00	$111.56
90670 Pneumococcal vaccine for injection into muscle	13	13	$328.00	$207.94

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	905	409	$257.00	$106.86
99213 Established patient office or other outpatient visit, typically 15 minutes	559	320	$174.00	$72.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	204	178	$20.00	$8.45
G0008 Administration of influenza virus vaccine	107	105	$30.00	$20.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$280.00	$117.08
90662 Influenza vaccine split virus, preservative free	87	86	$72.36	$47.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	17	$49.00	$20.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	66	13	$2.95	$1.92
93000 Routine ekg using at least 12 leads including interpretation and report	52	46	$41.00	$17.11
G0009 Administration of pneumococcal vaccine	47	47	$45.00	$20.58
99495 Transitional care management services for problem of at least moderate complexity	42	41	$392.00	$164.85
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$172.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	22	22	$319.82	$197.68
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$30.00	$18.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$393.00	$161.11
99496 Transitional care management services for problem of high complexity	16	15	$555.00	$223.02
81003 Automated urinalysis test	15	14	$8.00	$2.53
G0102 Prostate cancer screening; digital rectal examination	14	14	$51.00	$21.53
69210 Removal of impacted ear wax	13	13	$117.00	$49.15

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	737	324	$252.00	$104.94
99213 Established patient office or other outpatient visit, typically 15 minutes	580	325	$171.00	$71.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	191	169	$20.00	$8.31
G0008 Administration of influenza virus vaccine	151	151	$30.00	$25.46
90662 Influenza vaccine split virus, preservative free	144	144	$30.00	$28.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$273.00	$115.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	18	$60.00	$25.61
G0009 Administration of pneumococcal vaccine	86	86	$45.00	$25.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	68	16	$5.82	$2.88
99495 Transitional care management services for problem of at least moderate complexity	60	55	$384.00	$160.51
93000 Routine ekg using at least 12 leads including interpretation and report	54	51	$40.00	$16.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	50	50	$144.00	$88.27
90670 Pneumococcal vaccine for injection into muscle	39	39	$290.00	$184.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$385.00	$162.11
G0102 Prostate cancer screening; digital rectal examination	13	13	$47.00	$19.99

Medical Specialties & State Licenses

CMS Verified: 2021-05-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00025461

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8304495 (WA)

Commercial Insurance / Payer ID Aetna

5389380 (WA)

Commercial Insurance / Payer ID Labor And Indrustries

0201569 (WA)

Commercial Insurance / Payer ID Regence

4764JA (WA)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Melissa Purtteman , MD

Family Medicine

NPI 1043523053

Doctor of Medicine (M.D.)

Dr. Jay Smitherman , MD

Internal Medicine

NPI 1225028053

Doctor of Medicine (M.D.)

Molly Martin , ARNP

Nurse Practitioner - Family

NPI 1417364761

Advanced Registered Nurse Practitioner

Carrie Matyac , ARNP

Nurse Practitioner

NPI 1669439451

Advanced Registered Nurse Practitioner

Dr. Diana Velikova , MD

Internal Medicine

NPI 1841295615

Doctor of Medicine (M.D.)

Dr. Barbara Digman , PhD

Psychologist - Clinical

NPI 1841456696

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2015

Registered at 2555 MARVIN RD NE, PMG SW WA HAWKS PRAIRIE IM, LACEY, WA 985163138 (Tel: 3609234600)

📍

Updated Business Mailing Address July 07, 2015

Registered at PO BOX 3360, PORTLAND, OR 972083360

👤

Provider Name / Credentials Updated July 07, 2015

Recorded as EDWARD JANSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2015

Internal Medicine (License #MD00025461 in WA)

🟢

Initial NPI Registration & Enumeration July 10, 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: 1972537918

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: May 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3360

Portland, OR 972083360

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.