PATRICK KELLY SMITH PAC
NPI 1124016951
Physician Assistant in Lynnwood, WA

NPI Status: Active since October 06, 2005

Contact Information

20200 54TH AVE W
LYNNWOOD, WA
ZIP 98036
Phone: (425) 672-6400

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  • Individual
  • Male
  • Years of Experience 23
  • Physician Assistant
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PATRICK SMITH

This page provides the complete NPI Profile along with additional information for Patrick Smith, a primary care provider established in Lynnwood, Washington with a medical specialization in Physician Assistant and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1124016951 assigned on October 2005. The practitioner's primary taxonomy code is 363A00000X with license number PA60940050 (WA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1124016951
Provider Name
PATRICK KELLY SMITH PAC
Gender
Male
Entity Type
Individual
Location Address
20200 54TH AVE W LYNNWOOD, WA 98036
Location Phone
(425) 672-6400
Mailing Address
20200 54TH AVE W LYNNWOOD, WA 98036
Mailing Phone
(425) 672-6400
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
10-06-2005
Last Update Date
05-05-2021
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A primary care provider (PCP) like Patrick Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA60940050
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

5601004116 (MI)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

5601004116 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3381330OTHER (01)MIMOLINA HEALTH CARE
201OTHER (01)MICOMMUNITY CHOICE OF MI
142901OTHER (01)GREAT LAKES HEALTH PLAN
381908328OTHER (01)TRICARE

Medicare Participation & PECOS Enrollment Status

Patrick Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Patrick Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3476448192

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190627001126

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.07 for a new patient copayment and $17.82 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98036 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for PATRICK KELLY SMITH PAC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124016951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440112910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 2 + 9 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1124016951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609920230 SUSAN M. HUPPLER P.T.
Individual
Physical Therapist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6420
1508902677 BRIDGET L GOGLIA P.T.
Individual
Physical Therapist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1487790788MS. JOAN M SEIN RPH
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6464
1588700959MRS. LISA KRAFT
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6464
1710024583DR. KRISTY BUI PHARM.D.
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6464
1881731552MR. MICHAEL PATRICK R.PH.
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6464
1447398565 JAMES D MACON M.D.
Individual
Pediatrics20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1942348826 STEVEN G DOW P.A.
Individual
Physician Assistant20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1245378991MS. CATHERINE M. TOBIA RPH
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6464
1518006493 ALMUT O WHITE M.D.
Individual
General Practice20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1407996853 MARTHLYN JONES M.D.
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1407981152 JANE A SCHAFER LW
Individual
Social Worker20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6541
1043349988 ALAN K WEGERMANN M.D.
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1407058282 PAUL G. MONTES MD
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1902005119 JAMES C. FREIER M.D.
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1912136748 LINDA TATTA LICSW
Individual
Social Worker (Clinical)20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1245376177DR. MELISSA LEIGH STURGIS PHARMD
Individual
Pharmacist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1649488263 RUTH E. CHILDS M.D.
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1538212956 WENDI W. POPPENHAGEN MPT
Individual
Physical Therapist20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400
1174787600 MARGARET CHIN MD
Individual
Family Medicine20200 54TH AVE W
LYNNWOOD, WA 98036
(425) 672-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124016951, enumerated in the NPI registry as an "individual" on October 06, 2005

The provider is located at 20200 54th Ave W Lynnwood, Wa 98036 and the phone number is (425) 672-6400

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 23 years of experience.

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Telephone medical discussion with physician, 21-30 minutes.

This NPI record was last updated on October 06, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.