Dr. Edelveis Clapp , DO
Pediatrics โข Seattle, WA
1401 Nw 46th St Fl 5
Seattle, WA 981074635
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 May 16, 2007; this date does not establish years in practice.
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Published CMS data list 28 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 0001A โ Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose: 28 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
Practice Location & Contact Primary Location
1401 Nw 46th St Fl 5
Seattle, WA 981074635
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $646 in 2021
The total amount Medicare approved for these services in 2021. 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 โ by Provider and Service, 2021.
Paid by Medicare
About $646 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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 โ by Provider and Service, 2021.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
NPI first issued
2007
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Clapp 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.
Can order Medicare-covered services
CMS lists Dr. Clapp 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Seattle and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Clapp are from 2021.
544 active clinicians are listed under Pediatrics with a practice address in Seattle, WA (1,753 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Seattle
0.2% of these 544 clinicians have the CMS telehealth indicator.
3.5% of these 544 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
CMS data for Medicare Part B services are available for 2021 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2021 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), 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
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020 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, 2021; 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 |
|---|---|---|---|---|
|
0001A
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
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28 | 28 | $33.57 | $23.06 |
Source: CMS Part B by Provider and Service, 2021; 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
Self-certified to NPPES: 2021-06-08NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20070925000402
PA
4183718885
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Nurse Practitioner
Advanced Registered Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1401 NW 46TH ST FL 5, SEATTLE, WA 981074635 (Tel: 2062975360)
Registered at 1401 NW 46TH ST FL 5, SEATTLE, WA 981074635 (Tel: 2062975360)
NPI status registered as active in NPPES database
Registered at 500 UNIVERSITY DR, H088, HERSHEY, PA 170332360 (Tel: 7175311692)
Registered at 9800 4TH AVENUE NE, SEATTLE, WA 981152158 (Tel: 2065357902)
Recorded as EDELVEIS CLAPP, D.O.
Pediatrics (license number reported to NPPES: WA OP60316968)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Pediatrics Specialists in Seattle
- Dr. Robert Pretlow, MD
- Dr. Elizabeth Evans, MD
- Dr. Peter Talbot, MD
- Dr. Ann Champoux, MD
- Dr. Allyson Miller, MD
- Dr. Samantha Vergano, MD
Mailing Address
1401 Nw 46th St Fl 5
Seattle, WA 981074635
Phone: 2062975360