Active NPI 1689974305 Individual Practitioner Female Practitioner

Crystal E Czaplicki , PA-C

Physician Assistant • Maple Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Crystal Czaplicki, PA-C is a certified Physician Assistant practicing in Maple Valley, WA. With approximately 16 years of clinical experience since completing medical education in 2010, Crystal Czaplicki delivers high-quality medical care to the local community at 26458 MAPLE VALLEY BLACK DIAMOND RD SE.

Crystal Czaplicki is affiliated with Valley Medical Group-Renton and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

26458 Maple Valley Black Diamond Rd Se

Maple Valley, WA 980388350

Telephone 4256903465

Fax 4256909460

Associated Practice Facility / Clinic

🏢 Public Hospital District #1 Of King County Facility NPI 1730135088

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maple Valley, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Maple Valley, WA (3774 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Czaplicki (16 Years) 16 Yrs

Maple Valley Specialty Average (19.0 Years) 19.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	96	$142.46	$87.36
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$95.72	$58.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$153.12	$119.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$123.56	$79.15

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	123	116	$113.35	$88.24
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$78.00	$59.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$172.04	$124.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$151.00	$120.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$44.00	$32.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$95.00	$74.62

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	106	101	$122.96	$87.03
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$82.83	$61.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$169.93	$128.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$172.00	$124.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	90	$84.67	$62.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	92	$123.22	$89.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$106.44	$78.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$211.00	$120.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	76	$94.20	$50.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	65	$174.74	$81.07
81003 Automated urinalysis test	13	12	$8.00	$2.21

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	89	85	$266.00	$91.70
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$182.00	$64.01
81003 Automated urinalysis test	34	31	$8.00	$2.44
94640 Inhalation treatment for airway obstruction or sputum production	15	15	$44.00	$15.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	55	$170.00	$60.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	53	$251.00	$88.53
81003 Automated urinalysis test	20	20	$8.00	$2.57

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	68	67	$250.00	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$170.00	$60.89
81003 Automated urinalysis test	30	28	$8.00	$3.02

Medical Specialties & State Licenses

CMS Verified: 2021-08-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60188798

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

Medicaid State Provider ID

2010027 (WA)

Hospital & Practice Group Affiliations

Valley Medical Group-Renton

16850 Se 272nd St, Covington, WA 980424931

Valley Medical Group-Renton

26458 Maple Valley Black Diamond Rd, Maple Valley, WA 980388350

Phone: 4256565577

Practice Associates & Co-Workers

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

9 Associated Practitioners

Kristen Drury , PA-C

Physician Assistant - Medical

NPI 1053560524

Physician Assistant (Certified)

Dr. Dinesh Pai , MD

Family Medicine

NPI 1063453595

Doctor of Medicine (M.D.)

Dr. Laura Aguilar , DO

Family Medicine

NPI 1124478870

Doctor of Osteopathic Medicine (D.O.)

Sarah Mun , PA-C

Physician Assistant

NPI 1528559457

Physician Assistant (Certified)

Jennifer Castelluccio , PA-C

Physician Assistant

NPI 1679561435

Physician Assistant (Certified)

Dr. Sandra Ritchie , MD

Family Medicine

NPI 1720723455

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 19, 2021

Registered at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 980388350 (Tel: 4256903465)

📍

Updated Business Mailing Address August 19, 2021

Registered at 3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 980574970 (Tel: 4256902715)

✅

NPI Profile Active February 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2015

Registered at 12800 BOTHELL-EVERETT HWY, EVERETT, WA 98208 (Tel: 4253165150)

📍

Updated Business Mailing Address February 20, 2015

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8663662983)

👤

Provider Name / Credentials Updated February 20, 2015

Recorded as CRYSTAL CZAPLICKI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2015

Physician Assistant (License #PA60188798 in WA)

🟢

Initial NPI Registration & Enumeration October 27, 2010

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: 1689974305

Entity Type:

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

Enumeration Date: October 27, 2010

Last Update: August 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 Lind Ave Sw, Suite 100 Attn Credentialing

Renton, WA 980574970

Phone: 4256902715

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.