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NPI 1255708731ActiveIndividual· Plastic Surgery· Seattle, WA

Plastic Surgery in Seattle, Washington, trained at Virginia Commonwealth University, School of Medicine (class of 2015). Mostly services rather than prescriptions: Medicare paid $44,865 for 59 patients in 2024, with only 30 Part D claims. Axogen was the largest of 7 companies reporting payments in 2025, $1,910 in all, mostly travel and lodging.

Overview

NPI1255708731
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 31, 2015
Last updated in NPPESMay 5, 2021
Certified by providerMay 5, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000XMD61119552WA
Surgery, Plastic and Reconstructive Surgery2086S0122XMD61119552WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Plastic and Reconstructive Surgery (CA); Practitioner - Plastic and Reconstructive Surgery (DC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients59
Services billed176 across 37 procedure codes
Paid by Medicare$44,865

Part D prescriptions in 2024

Prescriptions (claims)30 · 30 30-day fills
Patients18
Total drug cost$72.67
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolVirginia Commonwealth University, School of Medicine
Graduation year2015
Medicare specialtyPlastic And Reconstructive Surgery
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,910 · 18 payments from 7 companies
  • 2024$306.77 · 10 payments from 7 companies

Top paying companies in 2025

CompanyAmountPayments
Axogen$1,67412
Tela Bio, Inc.$69.991
Davol Inc.$61.951
Mentor Worldwide LLC$29.951
W. L. Gore & Associates, Inc.$27.681

What the 2025 payments were for

  • Travel and Lodging$1,323 · 6 payments
  • Food and Beverage$586.73 · 12 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Plastic Surgery providers in Seattle

All Plastic Surgery providers in Washington →