Active NPI
Robert C. Vercio, MD
- Orthopaedic Surgery Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD61152639
- Practice address
- 2727 Hollycroft St Ste 410
Gig Harbor, WA 98335-1369 - Phone
- (253) 358-4002
- Fax
- (253) 358-4015
- NPI assigned
- Apr 15, 2014
- Last updated
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD61152639 | WA | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD61152639 | WA |
Addresses
Primary practice location
2727 Hollycroft St Ste 410
Gig Harbor, WA 98335-1369
Mailing address
7308 Bridgeport Way W Ste 201
Lakewood, WA 98499-8000
Phone (253) 582-7257
Other practice location 1
7308 Bridgeport Way W Ste 201
Lakewood, WA 98499-8000
Phone (253) 582-7257
Other practice location 2
1724 W Union Ave Ste 100
Tacoma, WA 98405-2099
Phone (253) 830-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2179955 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 Hollycroft St
Suite 410
Gig Harbor, WA 98335-1369
Phone (253) 582-7257
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61152639 | WA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc., P.S. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2727 Hollycroft St
Ste 410
Gig Harbor, WA 98335
Phone (253) 358-4002
7308 Bridgeport Way W
Ste 201
Lakewood, WA 98499
Phone (253) 582-7257
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
1724 West Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 830-5200
Interoperability endpoints
- robert.vercio.p73@direct.proliance.nextgenshare.com
- rvercio24475@direct.llu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgeons Skagit Northwest Orthopedics
- Multi-Specialty Clinic/Center
- Mount Vernon, WA
- NPI 1023051489
Orthopaedic Surgery
-
dba Orthopedic Physician Associates
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1558300434
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1477972651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7308 BRIDGEPORT WAY W STE 201",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998000",
"telephone_number": "253-582-7257",
"fax_number": "253-582-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 HOLLYCROFT ST STE 410",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351369",
"telephone_number": "253-358-4002",
"fax_number": "253-358-4015"
}
],
"practiceLocations": [
{
"address_1": "7308 Bridgeport Way W Ste 201",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984998000",
"country_code": "US",
"telephone_number": "253-582-7257",
"fax_number": "253-582-1617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1724 W Union Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984052099",
"country_code": "US",
"telephone_number": "253-830-5200",
"fax_number": "253-752-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERCIO",
"first_name": "ROBERT",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD61152639",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WA",
"license": "MD61152639",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2179955",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.