WILLIAM A PORTUESE M.D.
NPI 1649268210
Otolaryngology in Seattle, WA
NPI Status: Active since October 07, 2005
Contact Information
1101 MADISON ST
SUITE 1280
SEATTLE, WA
ZIP 98104
Phone: (206) 624-6200
Fax: (206) 624-0244
- Individual
- Male
- Otolaryngology
- Accepts Insurance
- PECOS Enrolled
About WILLIAM PORTUESE
This page provides the complete NPI Profile along with additional information for William Portuese, a provider established in Seattle, Washington with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1649268210 assigned on October 2005. The practitioner's primary taxonomy code is 207Y00000X with license number MD00028539 (WA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1649268210
- Provider Name
- WILLIAM A PORTUESE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1101 MADISON ST SUITE 1280 SEATTLE, WA 98104
- Location Phone
- (206) 624-6200
- Location Fax
- (206) 624-0244
- Mailing Address
- 1101 MADISON ST SUITE 1280 SEATTLE, WA 98104
- Mailing Phone
- (206) 624-6200
- Mailing Fax
- (206) 624-0244
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-07-2005
- Last Update Date
- 06-24-2010
- Code Navigator
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00028539
- License State
- WA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
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 |
|---|---|---|---|
| 8128381 | MEDICAID (05) | WA | |
| B62534 | MEDICARE UPIN (02) | WA | |
| G8866836 | MEDICARE PIN (08) | WA |
Medicare Participation & PECOS Enrollment Status
William Portuese 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
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
Physician Visit Costs
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 98104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $143.76
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $35.94
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.74
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $19.68
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* 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 WILLIAM A PORTUESE M.D.
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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. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 6 | 8 | 2 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 6 | 16 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 6 + 1 + 6 + 2 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649268210 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1982608253 | DR. RODNEY JON KRATZ M.D. Individual | Colon & Rectal Surgery | 1101 MADISON ST SUITE 500 SEATTLE, WA 98104 (206) 386-6600 |
| 1659371508 | JENNIFER OLSON AU.D., CCC-A Individual | Audiologist | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 621-4316 |
| 1962490946 | MICHAEL E. BOYD MD Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1356339345 | ROBERT B. CHINNAPONGSE MD Individual | Physical Medicine & Rehabilitation | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1508854449 | ROBERT W. BALLARD MD Individual | Otolaryngology | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1285622142 | BONNIE S. COLLINS M.D. Individual | Internal Medicine (Nephrology) | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1699763573 | MS. PAULA COX-NORTH ARNP Individual | Nurse Practitioner | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1386633113 | DR. L. KAY ENGLISH M.D. Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1992794747 | DR. KORY B. FOWLER M.D. Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1235128943 | DR. SHOBA KRISHNAMURTHY M.D. Individual | Internal Medicine (Gastroenterology) | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1578552238 | DR. PHILIP D. DUBOIS M.D. Individual | Obstetrics & Gynecology | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1902895667 | DR. NORMAN BROWN M.D. Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1285623736 | DR. JEFFREY S. GIBBS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1144219478 | DR. JOSEPH SAITTA M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1245229566 | DR. ERIC R. RAMAN M.D. Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1477542702 | DR. MICHAEL SCHUFFLER M.D. Individual | Internal Medicine (Gastroenterology) | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1588653539 | DR. T.VYN REESE M.D. Individual | Internal Medicine | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1780673806 | DANA S. WONG AU.D. Individual | Audiologist | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1770573792 | RICHARD WONDERLY M.D. Individual | Urology | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
| 1629068317 | CANDACE A. WHITEHEAD MS, CCC-A Individual | Audiologist | 1101 MADISON ST SUITE 301 SEATTLE, WA 98104 (206) 505-1101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649268210, enumerated in the NPI registry as an "individual" on October 07, 2005
The provider is located at 1101 Madison St Suite 1280 Seattle, Wa 98104 and the phone number is (206) 624-6200
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. 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 $143.76 with an average copayment of $35.94 for new patient appointments. Established patients should expect a typical charge of $78.74 and an average copayment of 19.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 07, 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.