Individual provider Active NPI

Trenton Matthew Morton, M.D.

  • Plastic Surgery Physician
  • Renton, WA
National Provider Identifier
1306263322
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD60661486 Issued in WA
Practice address
17930 Talbot Rd S
Renton, WA 98055-6230
Phone
(425) 228-3187
Fax
(425) 228-7972
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD60661486 WA
Plastic Surgery Physician 208200000X MD60661486 WA Primary

Addresses

Primary practice location

17930 Talbot Rd S
Renton, WA 98055-6230

Mailing address

17930 Talbot Rd S
Renton, WA 98055-6230
Phone (425) 228-3187

Other practice location 1

23925 225th Way SE Ste B
Maple Valley, WA 98038-5291
Phone (425) 228-3187

Other practice location 2

4033 Talbot Rd S Ste 530
Renton, WA 98055-5700
Phone (425) 690-3433

Other identifiers 1

IdentifierTypeStateIssuer
2036589MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727001570 WA Practitioner - Plastic and Reconstructive Surgery 7416264577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

17930 Talbot Rd S
Renton, WA 98055-6230
Phone (425) 228-3187

4033 Talbot Rd S
Suite 530
Renton, WA 98055-5700
Phone (425) 228-6076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Valley Medical Group-Renton CurrentSince Mar 15, 2022 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 17, 2020 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 17, 2020 Accepting new patients
Proliance Surgeons, Inc., P.S. Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

23925 225th Way SE
Ste B
Maple Valley, WA 98038
Phone (425) 228-3187

4011 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (206) 656-5060

4033 Talbot Rd S
Ste 530
Renton, WA 98055
Phone (425) 228-6076

17930 Talbot Rd S
Renton, WA 98055
Phone (425) 228-3187

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1306263322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17930 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556230",
            "telephone_number": "425-228-3187",
            "fax_number": "425-228-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17930 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556230",
            "telephone_number": "425-228-3187",
            "fax_number": "425-228-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23925 225th Way SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980385291",
            "country_code": "US",
            "telephone_number": "425-228-3187",
            "fax_number": "425-228-7972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4033 Talbot Rd S Ste 530",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555700",
            "country_code": "US",
            "telephone_number": "425-690-3433",
            "fax_number": "425-690-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "TRENTON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD60661486",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD60661486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.