Victor R. Michalak
NPI 1104877976 · Ambulatory Surgical Clinic/Center · Issaquah, WA
Provider details
- NPI number
- 1104877976
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tanya Knott, Practice Administrator(425) 391-2500
- License
- 50-C0001197 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
176 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Preparation of Skin Graft Site of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 100.0 Sq Cm Or 1% Body Area for Infants and Children, Or Less15004 | 57 | $170 |
| Repair of Wound of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm14021 | 28 | $922 |
| Repair of Wound of Trunk By Transferring Skin, 10.0 Sq Cm Or Less14000 | 24 | $1,015 |
| Repair of Wound of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less14020 | 18 | $1,015 |
| Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet By Transferring Skin, 10.0 Sq Cm Or Less14040 | 18 | $888 |
| Repair of Wound of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm Or Less |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dba Cosmetic Surgery & Dermatology of Issaquah, Inc.
- Doing business as
- Dba Cosmetic Surgery & Dermatology of Issaquah, Inc.
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2018-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.