Mie Hagiwara, PA-C
NPI 1508263716ActiveIndividual· Physician Assistant, Surgical· Renton, WA
Physician Assistant, Surgical (PA-C) with Proliance Surgeons Inc P S, practicing in Renton, Washington. 449 Medicare patients in 2024, $40,022 paid; all of their 62 Part D prescriptions were generic. Lists Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1508263716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 3, 2014 |
| Last updated in NPPES | Jan 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA60509719 | WA |
| Physician Assistant | 363A00000X | PA60509719 | WA |
| Physician Assistant, Medical | 363AM0700X | PA60509719 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 449 |
|---|---|
| Services billed | 469 across 5 procedure codes |
| Paid by Medicare | $40,022 |
Part D prescriptions in 2024
| Prescriptions (claims) | 62 · 62 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $543.41 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Proliance Surgeons Inc P SEverett, WA · 397 clinicians
Hospital affiliation
- Valley Medical CenterRenton, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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