Individual provider Active NPI

Robert Aaron Tester, M.D.

  • Ophthalmology Physician
  • Federal Way, WA
National Provider Identifier
1689783268
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00043755 Issued in WA
Practice address
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone
(206) 212-2100
Fax
(206) 212-2194
NPI assigned
Aug 29, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00043755 WA Primary

Addresses

Primary practice location

34719 6TH Ave S
Federal Way, WA 98003-8714

Mailing address

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Other identifiers 16

IdentifierTypeStateIssuer
0059460OtherWAL&I GROUP NUMBER
91162803298003A009OtherWATRICARE/WPS FEDERAL WAY #
P00122266OtherWARAILROAD MEDICARE IND #
2955TEOtherWAREGENCE FEDERAL WAY RYDER
91162803298002A010OtherWATRICARE/WPS AUBURN
91162803298116A007OtherWATRICARE/WPS BURIEN #
0185602OtherWAL&I INDIVIDUAL NUMBER
911628035OtherWABLUE CROSS
CD6646OtherWARAILROAD MEDICARE GROUP #
0870427OtherWAAETNA GROUP NUMBER
EV8144OtherWAREGENCE GROUP NUMBER
2159TEOtherWAREGENCE AUBURN RYDER #
8391112OtherWACHPW GAU INDIVIDUAL#-DSHS
8391112MedicaidWA
8938252OtherWACRIME VICTIMS INDIVIDUAL#
8232TEOtherWAREGENCE BURIEN RYDER #

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
I20040706000267 WA Practitioner - Ophthalmology 4587641881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC CurrentSince Jul 6, 2004 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Current Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology CurrentSince Jul 6, 2004 Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients
Evergreen Eye Center, PLLC Ophthalmology Past Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

700 M St NE
Auburn, WA 98002
Phone (206) 212-2100

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

Interoperability endpoints

  • Direct secure messaging: rtester@cepwa-eec.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1689783268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "206-212-2100",
            "fax_number": "206-212-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "206-212-2100",
            "fax_number": "206-212-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTER",
        "first_name": "ROBERT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00043755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP NUMBER",
            "identifier": "0059460",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/WPS FEDERAL WAY #",
            "identifier": "91162803298003A009",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND #",
            "identifier": "P00122266",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE FEDERAL WAY RYDER",
            "identifier": "2955TE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/WPS AUBURN",
            "identifier": "91162803298002A010",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/WPS BURIEN #",
            "identifier": "91162803298116A007",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I INDIVIDUAL NUMBER",
            "identifier": "0185602",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "911628035",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CD6646",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "0870427",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP NUMBER",
            "identifier": "EV8144",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE AUBURN RYDER #",
            "identifier": "2159TE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHPW GAU INDIVIDUAL#-DSHS",
            "identifier": "8391112",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8391112",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS INDIVIDUAL#",
            "identifier": "8938252",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BURIEN RYDER #",
            "identifier": "8232TE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.