Lance R Keck , PA-C
Physician Assistant โข Tacoma, WA
1708 Yakima Ave Ste 102
Tacoma, WA 984055307
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 March 3, 2008; this date does not establish years in practice.
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Published CMS data list 15 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 32674 โ Removal of lymph nodes of chest cavity using an endoscope: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 215 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl โ 30 prescription fills, including refills.
- Gabapentin โ 27 prescription fills, including refills.
- Metoprolol Succinate โ 26 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Tacoma, WA (2024, 102 clinicians with data). Median for this group: 164. Middle half: 79 to 497.
Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Washington (2024, 2,003 clinicians with data). Median for this group: 246. Middle half: 75 to 800.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 33 in 2017 to 15 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2022.
Practice Location & Contact Primary Location
1708 Yakima Ave Ste 102
Tacoma, WA 984055307
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: Multicare Health System. 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
2008
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
31 people with Original Medicare in 2022
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2022.
Medicare-allowed amount
About $424 in 2022
The total amount Medicare approved for these services in 2022. 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, 2022.
Paid by Medicare
About $338 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
227 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
$1,070 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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.
Open Payments general payments, program year 2025
All general payments: $42,579.16 across 90 records.
By nature of payment
- Education: $32,200.00 across 28 records.
- Travel and Lodging: $10,022.45 across 48 records.
- Food and Beverage: $356.71 across 14 records.
Reporting-company totals (3 largest of 4)
- INTUITIVE SURGICAL, INC.: $42,464.42 across 85 records.
- Getinge USA Sales, LLC: $67.66 across 3 records.
- LSI SOLUTIONS INC: $28.61 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 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
2008
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, โDoes your provider accept Medicare as full payment?โ
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)
Lance Keck 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 Lance Keck 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 Tacoma and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Tacoma, WA (2024, 102 clinicians with data). Median for this group: 164. Middle half: 79 to 497.
Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,003 clinicians with data). Median for this group: 246. Middle half: 75 to 800.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Tacoma, WA (2024, 102 clinicians with data). Median for this group: $2,384. Middle half: $671 to $34,187.
A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Washington (2024, 2,003 clinicians with data). Median for this group: $4,375. Middle half: $765 to $65,711.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Lance Keck are from 2022.
331 active clinicians are listed under Physician Assistant with a practice address in Tacoma, WA (3,803 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tacoma
9.4% of these 331 clinicians have the CMS telehealth indicator.
40.5% of these 331 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 decreased 55% from 33 in 2017 to 15 in 2022.
- 2017: 33
- 2018: 25
- 2019: 11
- 2021: 15
- 2022: 15
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Medicare-allowed amount
Medicare-allowed amount decreased 89% from $4,033 in 2017 to $424 in 2022.
- 2017: $4,033
- 2018: $2,733
- 2019: $2,335
- 2021: $432
- 2022: $424
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Paid by Medicare
Paid by Medicare decreased 89% from $3,213 in 2017 to $338 in 2022.
- 2017: $3,213
- 2018: $2,178
- 2019: $1,863
- 2021: $345
- 2022: $338
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 727% from 26 in 2020 to 215 in 2024.
- 2020: 26
- 2021: 15
- 2022: 81
- 2023: 88
- 2024: 215
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30-day fills
30-day fills increased 657% from 30 in 2020 to 227 in 2024.
- 2020: 30
- 2021: 15
- 2022: 81
- 2023: 92
- 2024: 227
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Part D drug cost
Part D drug cost went from $426 in 2020 to $1,070 in 2024.
- 2020: $426
- 2021: $281
- 2022: $559
- 2023: $705
- 2024: $1,070
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 46% from $29,206.79 in 2021 to $42,579.16 in 2025.
- 2021: $29,206.79
- 2022: $26,893.94
- 2023: $32,603.17
- 2024: $30,823.83
- 2025: $42,579.16
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 90 records totaling $42,579.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
|
Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $735.59 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $621.01 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $590.85 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $572.68 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $529.08 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $492.14 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $476.16 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $459.17 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $403.97 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $394.52 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $394.29 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 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, 2017โ2022; 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 |
|---|---|---|---|---|
|
32674
Removal of lymph nodes of chest cavity using an endoscope
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15 | 15 | $611.53 | $28.24 |
Source: CMS Part B by Provider and Service, 2022; 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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 30 | 174 | $170.67 | 30 |
| Gabapentin | Gabapentin | 27 | 797 | $196.52 | 27 |
| Metoprolol Succinate | Metoprolol Succinate | 26 | 885 | $120.35 | 18 |
| Tramadol Hcl | Tramadol Hcl | 23 | 132 | $87.77 | 23 |
| Furosemide | Furosemide | 23 | 192 | $26.97 | 23 |
| Potassium Chloride | Potassium Chloride | 20 | 159 | $52.28 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 18 | 540 | $79.35 | 17 |
| Atorvastatin Calcium | Atorvastatin Calcium | 17 | 510 | $45.09 | โ |
| Amiodarone Hcl | Amiodarone Hcl | 16 | 388 | $199.60 | 14 |
| Clopidogrel | Clopidogrel Bisulfate | 15 | 690 | $91.56 | โ |
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: 2020-12-04NUCC 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.
NUCC Taxonomy Code: 363AS0400X
NUCC Taxonomy Code: 363AS0400X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20100730000162
WA
7113081936
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
Multicare Health System
4700 Point Fosdick Dr, Gig Harbor, WA 983351706
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Gerontology
Advanced Registered Nurse Practitioner
Physician Assistant - Medical
Physician Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1708 YAKIMA AVE STE 102, TACOMA, WA 984055307 (Tel: 2532727777)
Registered at 1708 YAKIMA AVE STE 102, TACOMA, WA 984055307 (Tel: 2532727777)
Physician Assistant (license number reported to NPPES: WA PA60109612)
NPI status registered as active in NPPES database
Registered at 1802 YAKIMA AVE, STE 102, TACOMA, WA 984054499 (Tel: 2532727777)
Registered at 1802 YAKIMA AVE, STE 102, TACOMA, WA 984054499 (Tel: 2532727777)
Recorded as LANCE KECK, PA-C
Physician Assistant (license number reported to NPPES: WA PA60109612)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Tacoma
- Rebecca Hunt, PA-C
- Bradley Poe, PA-C, MPAS
- Tiffany Crabb, PA-C
- Cora Krouse, PA-C
- Elizabeth Newkirk, PA-C
- Stephanie Mcclymond, PA-C
Mailing Address
1708 Yakima Ave Ste 102
Tacoma, WA 984055307
Phone: 2532727777