Doctor profile · Federal record

Dr. Rolin Pruyn, PA-C

Medical Physician Assistant (CMS: Physician Assistant) · Kirkland, WA

  • NPI 1073940219
  • Accepts Medicare
  • 13 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
12303 Ne 130Th Ln, Suite 550
Kirkland, WA 980343099
(425) 899-6972
fax (425) 899-6970

Credentials & registration

NPPES · NUCC
NPI registered
October 2013 — 13 yrs on file
Profile last updated
October 31, 2016
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Washington #PA60435739

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073940219. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
89
Distinct HCPCS
5
Medicare allowed
$7,058
HCPCS Description Services Patients Avg allowed
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 29 29 $22
99215 Established patient office or other outpatient visit, 40-54 minutes 18 17 $130
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope 16 16 $105
19301 Partial removal of breast 14 14 $97
99214 Established patient office or other outpatient visit, 30-39 minutes 12 12 $88

In context: peer comparison

Among 3 peers in this city , average services per provider: 83. This provider delivers 1.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
26
Patients
24
Total drug cost
$128
Drug Type Claims Patients Total cost
Prednisone Generic 26 24 $128

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Rolin Pruyn's medical specialty?
Dr. Rolin Pruyn practices Medical Physician Assistant in Kirkland, WA.
Where does Dr. Rolin Pruyn practice?
Dr. Rolin Pruyn practices at 12303 Ne 130Th Ln, Kirkland, WA 980343099. Office phone: 4258996972.
What is Dr. Rolin Pruyn's NPI?
Dr. Rolin Pruyn's National Provider Identifier (NPI) is 1073940219, issued by NPPES.
Does Dr. Rolin Pruyn accept Medicare assignment?
Yes. Dr. Rolin Pruyn accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rolin Pruyn commonly perform?
Top Medicare-reported procedures in 2023: Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS G0296); Established patient office or other outpatient visit (HCPCS 99215); Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS 47563). Source: CMS Medicare Physician & Other Practitioners file.