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Active NPI 1124016951 Individual Practitioner Male Practitioner

Patrick Kelly Smith , PA-C

Physician Assistant • Lynnwood, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Patrick Smith, PA-C is a certified Physician Assistant practicing in Lynnwood, WA. With approximately 23 years of clinical experience since completing medical education in 2003, Patrick Smith delivers high-quality medical care to the local community at 20200 54TH AVE W.

Patrick Smith is affiliated with Kaiser Foundation Health Plan Of Washington and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20200 54th Ave W

Lynnwood, WA 980366318

Telephone 4256726400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lynnwood, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +13.3 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Lynnwood, WA (3774 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (23 Years) 23 Yrs
Lynnwood Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes
11 11 $161.00 $87.61

Medical Specialties & State Licenses

CMS Verified: 2021-05-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60940050

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MI 5601004116

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601004116

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Great Lakes Health Plan
142901
Commercial Insurance / Payer ID Tricare
381908328
Commercial Insurance / Payer ID Community Choice Of Mi
201 (MI)
Commercial Insurance / Payer ID Molina Health Care
3381330 (MI)

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of Washington

2929 Pine St, Everett, WA 982013835

Phone: 4252611500

Kaiser Foundation Health Plan Of Washington

9505 S Steele St, Tacoma, WA 984441858

Phone: 2535976800

Practice Associates & Co-Workers

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

37 Associated Practitioners
Dr. Derek Sylte , MD

Family Medicine

NPI 1033418819

Doctor of Medicine (M.D.)

NPI 1043349988

Doctor of Medicine (M.D.)

Dr. Chitra Manickam , MD

Internal Medicine - Rheumatology

NPI 1114215175

Doctor of Medicine (M.D.)

Sydney Person

Occupational Therapist

NPI 1144861915
Leslie Morton , OT

Occupational Therapist

NPI 1154453850

Occupational Therapist

Dr. Margaret Chin , MD

Family Medicine

NPI 1174787600

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 05, 2021

Registered at 20200 54TH AVE W, LYNNWOOD, WA 980366318 (Tel: 4256726400)

📍
Updated Business Mailing Address May 05, 2021

Registered at 20200 54TH AVE W, LYNNWOOD, WA 980366318 (Tel: 4256726400)

📍
Updated Business Mailing Address June 10, 2019

Registered at 2518 196TH ST SW, LYNNWOOD, WA 980366970 (Tel: 4256737062)

NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 1522 JANES AVE, SAGINAW, MI 486011819 (Tel: 9897550316)

📍
Updated Business Mailing Address April 28, 2010

Registered at 501 LAPEER AVE, HEALTH DELIVERY INC, SAGINAW, MI 48607 (Tel: 9897596400)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as PATRICK SMITH, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Emergency Medicine (License #5601004116 in MI)

🟢
Initial NPI Registration & Enumeration October 06, 2005

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: 1124016951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2005
Last Update: May 05, 2021
Sole Proprietor: No

Mailing Address

20200 54th Ave W

Lynnwood, WA 980366318

Phone: 4256726400

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.