Pacific Vascular Incorporated
NPI 1639776842 · Physiological Laboratory · Port Angeles, WA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Vascular Incorporated is a Physiological Laboratory organization in Port Angeles, WA (NPI 1639776842).
Provider details
- NPI number
- 1639776842
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Bonnie Brown, Ceo/Technical Director(425) 398-7781
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 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
805 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) |
|---|---|---|
| Ultrasound Study of Arm and Leg Arteries93922 | 181 | $66 |
| Complete Ultrasound of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts93978 | 172 | $149 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 151 | $239 |
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 | 146 | $183 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers93970 | 57 | $186 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 27 | $109 |
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Pacific Vascular-Pt Angeles
- Other name
- Pacific Vascular-Pt Angeles
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Pacific Vascular Incorporated's NPI number?
- Pacific Vascular Incorporated's National Provider Identifier (NPI) is 1639776842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Vascular Incorporated?
- Pacific Vascular Incorporated is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Pacific Vascular Incorporated located?
- Pacific Vascular Incorporated's practice location on file with NPPES is 112 Del Guzzi Dr Ste 2, Port Angeles, WA 98362-4976.
- What is Pacific Vascular Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Pacific Vascular Incorporated is (360) 504-3842.
- Does Pacific Vascular Incorporated accept Medicare?
- Pacific Vascular Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Vascular Incorporated?
- The authorized official listed on Pacific Vascular Incorporated's NPPES record is Bonnie Brown, Ceo/Technical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Vascular Incorporated's NPI active?
- Yes — Pacific Vascular Incorporated's NPI (1639776842) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.