David Wayne Overton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10001318 Issued in WA

Practice address

1315 Ruddell Rd SE
Lacey, WA 98503-5701

Phone

(360) 357-8054

Fax

(360) 236-9703

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Pain Care PSGroup PAC ID 1759630379, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

Merit-based Incentive Payment System (MIPS)

Final score

89.75 of 100Reported as individual

Quality

75.58

Promoting interoperability

100

Improvement activities

40

Cost

72.15

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Pain Care PS

  • Physician Assistant
  • Olympia, WA
  • NPI 1114410495
  Medicare reassignment Care Compare group
• Lake Washington Private Medicine Inc

  dba Lake Washington Pain Management

  • Pain Medicine Physician
  • Kirkland, WA
  • NPI 1427109271
  Medicare reassignment
• Natural Medicines & Family Practice

  • Medical Physician Assistant
  • Lacey, WA
  • NPI 1336486489
  NPD (past) Authorized official

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

• Grays Harbor Community Hospital

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1154378859
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851307003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 S BAY TER NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035701",
            "telephone_number": "360-357-8054",
            "fax_number": "360-236-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10001318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesutofunmi Osundeko, D.M.D.
• F Michele Otto, RN
• George O Otura, LPC, LMHC
• Ahmad Oubaid, DMD
• Ovation Transportation Inc (Hearts of care)
• Courtney Owens, M.S., CCC-SLP
• Dyana L Owens
• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Speech and Neurological Rehabilitation, PLLC (Pacific Speech and Neuro Rehab)
• Pacific Walk-in Clinic

• Physician Assistant in Lacey, WA
• Providers in Lacey, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.