Doctor profile · Federal record

Dr. Michael Chisum, MD

Surgery Physician (CMS: General Surgery) · Issaquah, WA

  • NPI 1265963771
  • Accepts Medicare
  • MIPS 82.8 / 100 · 2023
  • 9 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
751 Ne Blakely Dr Ste 4020
Issaquah, WA 980296201
(425) 313-7124
fax (425) 313-7072
Mailing address
Po Box 25608
Salt Lake City, UT 841250608

Credentials & registration

NPPES · NUCC
NPI registered
March 2017 — 9 yrs on file
Profile last updated
December 1, 2022
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
208600000X — NUCC code
State license (1)
Washington #MD61170311
Medicaid
WA #2084042

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265963771. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
16
Distinct HCPCS
1
Medicare allowed
$2,904
HCPCS Description Services Patients Avg allowed
99204 New patient office or other outpatient visit, 45-59 minutes 16 16 $182

In context: peer comparison

Among 2 peers in Issaquah Surgery Physician, average services per provider: 17. This provider delivers 0.9× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Chisum's medical specialty?
Dr. Michael Chisum practices Surgery Physician in Issaquah, WA.
Where does Dr. Michael Chisum practice?
Dr. Michael Chisum practices at 751 Ne Blakely Dr Ste 4020, Issaquah, WA 980296201. Office phone: 4253137124.
What is Dr. Michael Chisum's NPI?
Dr. Michael Chisum's National Provider Identifier (NPI) is 1265963771, issued by NPPES.
Does Dr. Michael Chisum accept Medicare assignment?
Yes. Dr. Michael Chisum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Chisum commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.