Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Keng Moua , PA-C

Physician Assistant โ€ข Olympia, WA

Active NPI 1639802135 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

615 Lilly Rd Ne Ste 100
Olympia, WA 985065117

Call 3604914211 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

615 Lilly Rd Ne Ste 100

Olympia, WA 985065117

Telephone 3604914211
Fax 3604930407
Organization at the Same NPPES Address or Phone
Olympia Orthopaedic Associates, Pllc Facility NPI 1558531459

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Olympia, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Kaiser Foundation Health Plan Of Washington; Olympia Orthopaedic Associates Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2023

Medicare patients

254 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $33,112 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $23,370 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

483 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,360 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Keng Moua has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Keng Moua as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Olympia and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: 561. Middle half: 182 to 1,123.

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: $35,507. Middle half: $11,260 to $61,647.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Olympia, WA (2024, 54 clinicians with data). Median for this group: $25,944. Middle half: $7,900 to $43,188.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Olympia, WA (2024, 60 clinicians with data). Median for this group: 383. Middle half: 81 to 782.

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Olympia, WA (2024, 60 clinicians with data). Median for this group: $5,722. Middle half: $861 to $55,394.

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

108 active clinicians are listed under Physician Assistant with a practice address in Olympia, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olympia

12% of these 108 clinicians have the CMS telehealth indicator.

66.7% of these 108 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
185 26 $10.00 $0.97
73562 X-ray of knee, 3 views
77 62 $88.26 $33.51
20610 Aspiration and/or injection of fluid from large joint
61 52 $269.94 $57.32
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
61 60 $209.85 $75.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
44 42 $277.26 $104.84
73502 X-ray of hip, 2-3 views
40 34 $134.80 $37.41
73564 X-ray of knee, 4 or more views
30 27 $87.58 $39.47
27447 Replacement of knee joint, both sides of knee
28 28 $941.47 $163.14
73030 X-ray of shoulder, minimum of 2 views
28 22 $79.58 $28.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $279.34 $92.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 17 $116.20 $43.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $421.24 $136.44
23472 Prosthetic repair of shoulder joint, total shoulder
16 16 $871.77 $172.82
27130 Replacement of thigh bone and hip joint with prosthesis
12 12 $941.29 $157.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 207 1,439 $1,387.90 139
Diclofenac Sodium Diclofenac Sodium 57 1,760 $480.15 38
Ondansetron Odt Ondansetron 47 354 $728.54 47
Ondansetron Hcl Ondansetron Hcl 37 417 $215.64 36
Hydromorphone Hcl Hydromorphone Hcl 31 215 $243.35 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 24 167 $282.10 18
Mupirocin Mupirocin 24 334 $158.56 24
Tramadol Hcl Tramadol Hcl 19 147 $47.80 14
Celecoxib Celecoxib 18 555 $776.99 15
Cephalexin Cephalexin 14 35 $38.68 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2289590 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240624004116

Enrollment State Jurisdiction

WA

PECOS Control ID

4981066933

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of Washington

11511 Ne 10th St, Bellevue, WA 980048578

Phone: 4255023000

Olympia Orthopaedic Associates Pllc

615 Lilly Rd Ne, Olympia, WA 985065117

Phone: 3604914211

Secondary Practice Locations

700 Lilly Rd Ne

Olympia, WA 985065196

Phone: 3609237000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. Laddie Agtarap , MD

Orthopaedic Surgery

NPI 1558430264

Doctor of Medicine (M.D.)

Dr. Logan Bushnell , DO

Orthopaedic Surgery

NPI 1659878437

Doctor of Osteopathic Medicine (D.O.)

Lori Cardwell , PA-C

Physician Assistant - Surgical

NPI 1972536779

Physician Assistant (Certified)

Dr. Derek Dombroski , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1992865869

Doctor of Medicine (M.D.)

Dr. Adam Graver , MD

Orthopaedic Surgery - Hand Surgery

NPI 1831480748

Doctor of Medicine (M.D.)

Dr. Christina Hajewski , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1336598887

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location February 20, 2025

Registered at 615 LILLY RD NE STE 100, OLYMPIA, WA 985065117 (Tel: 3604914211)

๐Ÿ“
Updated Business Mailing Address February 20, 2025

Registered at PO BOX 368, OLYMPIA, WA 985070368 (Tel: 3604918439)

๐Ÿ‘ค
Provider Name / Credentials Updated February 20, 2025

Recorded as KENG MOUA, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2023

Physician Assistant

โœ…
NPI Profile Active July 03, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 03, 2022

Registered at 1614 FORDEM AVE APT 106, MADISON, WI 537044646 (Tel: 4143032469)

๐Ÿ“
Business Mailing Address (Initial Record) July 03, 2022

Registered at 1614 FORDEM AVE APT 106, MADISON, WI 537044646 (Tel: 4143032469)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 03, 2022

Recorded as KENG MOUA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2022

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration July 03, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1639802135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2022
Last Update: June 11, 2026
Sole Proprietor: Yes

Other Physician Assistants in Olympia

All Physician Assistants in Olympia

Mailing Address

Po Box 368

Olympia, WA 985070368

Phone: 3604918439

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.