Simon Gordon Gale
Occupational Therapist • Seattle, WA
1600 E Jefferson St, Suite A
Seattle, WA 981225698
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 29, 2015; this date does not establish years in practice.
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Published CMS data list 162 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 97165 — Evaluation for occupational therapy: 66 service units.
- 97166 — Evaluation for occupational therapy: 51 service units.
- 97542 — Evaluation for wheelchair: 45 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 70% of clinicians listed under Occupational Therapist in Seattle, WA (2024, 20 clinicians with data). Median for this group: 318. Middle half: 157 to 889.
Fewer Medicare Part B services than 85% of clinicians listed under Occupational Therapist in Washington (2024, 212 clinicians with data). Median for this group: 587. Middle half: 354 to 1,056.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 75 in 2020 to 162 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1600 E Jefferson St
Suite A
Seattle, WA 981225698
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Swedish Health Services. 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
1997
What Public CMS Data Show
Occupational Therapist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
84 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $14,188 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $10,439 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2015
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Simon Gale 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.
Compared with the same specialty in Seattle and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Occupational Therapist in Seattle, WA (2024, 20 clinicians with data). Median for this group: 318. Middle half: 157 to 889.
Fewer Medicare Part B services than 85% of clinicians listed under Occupational Therapist in Washington (2024, 212 clinicians with data). Median for this group: 587. Middle half: 354 to 1,056.
Medicare-allowed amount
Close to the middle for clinicians listed under Occupational Therapist in Seattle, WA (2024, 20 clinicians with data). Median for this group: $13,202. Middle half: $6,603 to $25,403.
A lower Medicare-allowed amount than 60% of clinicians listed under Occupational Therapist in Washington (2024, 212 clinicians with data). Median for this group: $17,171. Middle half: $9,949 to $29,088.
Paid by Medicare
Close to the middle for clinicians listed under Occupational Therapist in Seattle, WA (2024, 20 clinicians with data). Median for this group: $9,816. Middle half: $4,894 to $18,978.
A lower Medicare payment amount than 60% of clinicians listed under Occupational Therapist in Washington (2024, 212 clinicians with data). Median for this group: $13,055. Middle half: $7,716 to $22,212.
561 active clinicians are listed under Occupational Therapist with a practice address in Seattle, WA (3,085 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Seattle
0.5% of these 561 clinicians have the CMS telehealth indicator.
5.2% of these 561 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 116% from 75 in 2020 to 162 in 2024.
- 2020: 75
- 2021: 117
- 2022: 183
- 2023: 230
- 2024: 162
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Medicare-allowed amount
Medicare-allowed amount increased 86% from $7,625 in 2020 to $14,188 in 2024.
- 2020: $7,625
- 2021: $10,835
- 2022: $14,476
- 2023: $15,814
- 2024: $14,188
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Paid by Medicare
Paid by Medicare increased 92% from $5,450 in 2020 to $10,439 in 2024.
- 2020: $5,450
- 2021: $8,178
- 2022: $11,035
- 2023: $11,244
- 2024: $10,439
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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97165
Evaluation for occupational therapy, typically 30 minutes
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66 | 43 | $291.00 | $109.08 |
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97166
Evaluation for occupational therapy, typically 45 minutes
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51 | 48 | $291.00 | $112.32 |
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97542
Evaluation for wheelchair, each 15 minutes
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45 | 15 | $99.00 | $28.01 |
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.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 225X00000X
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
I20151130000954
WA
2163722919
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
Swedish Health Services
747 Broadway, Seattle, WA 981224379
Phone: 2063866000
Swedish Health Services
550 17th Ave, Seattle, WA 981225789
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Physical Therapist - Neurology
Doctor of Physical Therapy, NCS
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated September 29, 2015.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Occupational Therapists in Seattle
- Anna Wachtel, MS, OTR, L
- Elyse Bosse, OTR, L
- Renee Spoelhof, OT
- Debra Scheenstra, OTR, L
- Angelo Fatta, OTR, L
- Megan Black, OTR
Mailing Address
1600 E Jefferson St, Suite A
Seattle, WA 981225698
Phone: 2063202200