The Polyclinic PLLC
NPI 1962506618 · Ambulatory Surgical Clinic/Center · Seattle, WA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Polyclinic PLLC is a Ambulatory Surgical Clinic/Center organization in Seattle, WA (NPI 1962506618).
Provider details
- NPI number
- 1962506618
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Pepin, Ceo(206) 329-1760
- License
- 178010389 (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
19 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
1,991 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) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 600 | $507 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 513 | $642 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 445 | $356 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 197 | $504 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 63 | $498 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Optum Broadway Endoscopy Asc
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is The Polyclinic PLLC's NPI number?
- The Polyclinic PLLC's National Provider Identifier (NPI) is 1962506618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Polyclinic PLLC?
- The Polyclinic PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Polyclinic PLLC located?
- The Polyclinic PLLC's practice location on file with NPPES is 1145 Broadway, Seattle, WA 98122-4201.
- What is The Polyclinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Polyclinic PLLC is (206) 860-4522.
- Does The Polyclinic PLLC accept Medicare?
- The Polyclinic PLLC 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 The Polyclinic PLLC?
- The authorized official listed on The Polyclinic PLLC's NPPES record is Craig Pepin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Polyclinic PLLC's NPI active?
- Yes — The Polyclinic PLLC's NPI (1962506618) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.