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Active NPI 1821154790 Individual Practitioner Male Practitioner

Dr. Alexander Gougoutas , MD

Surgery - Plastic and Reconstructive Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Gougoutas, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Seattle, WA. With approximately 20 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 2006, Dr. Gougoutas delivers high-quality medical care to the local community at 1229 MADISON ST # 1660.

Dr. Gougoutas is affiliated with The Polyclinic Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1229 Madison St # 1660

Seattle, WA 981043586

Telephone 2068605582
Associated Practice Facility / Clinic
🏢 The Polyclinic Facility NPI 1073944039

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +1.3 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Seattle, WA (74 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gougoutas (20 Years) 20 Yrs
Seattle Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $167.10 $78.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 12 $170.90 $74.13

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WA MD60276102

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1821154790 (WA)
Commercial Insurance / Payer ID Medicare Pin
8909038 (WA)

Hospital & Practice Group Affiliations

The Polyclinic Pllc

1229 Madison St, Seattle, WA 981043590

Phone: 2068605582

Practice Associates & Co-Workers

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

3 Associated Practitioners
Bettie Orr , CRNA

Anesthesiology

NPI 1346201969

Certified Registered Nurse Anesthetist

Meghan Nadeau

Plastic Surgery

NPI 1528217429
Dr. Cindy Wei , MD

Plastic Surgery

NPI 1689862179

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address June 15, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

📍
Updated Practice Location September 12, 2023

Registered at 1229 MADISON ST # 1660, SEATTLE, WA 981043586 (Tel: 2068605582)

📍
Updated Business Mailing Address September 12, 2023

Registered at 1145 BROADWAY, SEATTLE, WA 981224201 (Tel: 2068605414)

📍
Updated Practice Location August 17, 2023

Registered at 1560 N 115TH ST STE 206, SEATTLE, WA 981338414 (Tel: 2063686746)

NPI Profile Active November 02, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 02, 2017

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

📍
Updated Practice Location November 02, 2017

Registered at 3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 191044206 (Tel: 2156627659)

👤
Provider Name / Credentials Updated November 02, 2017

Recorded as ALEXANDER GOUGOUTAS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Surgery (License #MD60276102 in WA)

NPI Profile Active March 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2008

Registered at 3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 191044206 (Tel: 2156627659)

📍
Updated Business Mailing Address March 19, 2008

Registered at 3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 191044206 (Tel: 2156627659)

👤
Provider Name / Credentials Updated March 19, 2008

Recorded as ALEXANDER GOUGOUTAS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Plastic Surgery (License #MT188118 in PA)

🟢
Initial NPI Registration & Enumeration December 28, 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: 1821154790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

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.