NPPES file of Aug 9, 2026

Donna J. Pedroza, MBBS, MA

Hospitalist Physician · Seattle, WA

Donna J. Pedroza, MBBS, MA is a hospitalist physician with a practice address in Seattle, Washington, and NPI 1376819425, issued on Mar 22, 2012. Check the license (Washington MD60483510, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376819425
Name
Donna J. Pedroza
Credential
MBBS, MA
Primary taxonomy
Hospitalist Physician 208M00000X
License number
MD60483510 WA
Self-reported in NPPES; status is on the state search
Practice location
1550 N 115TH St # Msd149b, Seattle, WA 98133
Phone
(206) 668-1500
Enumerated
Mar 22, 2012
Record last updated
Oct 23, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicaid ID
1376819425 WA
Medicare enrollment
Enrolled (PECOS I20150618002883); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1550 N 115TH St # Msd149b

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Natalie Kress, MDInternal Medicine Physician1255725701

Verify Donna J. Pedroza in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWashington Medical Commission
    Search for license MD60483510
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Washington license search

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75% fewer Medicare Part D claims than the average hospitalist physician in 2024

129 Medicare Part D claims for 47 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 12 claims were for opioids.

  1. Donna Pedroza129
  2. Specialty average521

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. The Association OF University PhysiciansSeattle, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Donna J. Pedroza among 793 hospitalist physician records in Washington

Donna J. Pedroza, MBBS, MA is one of 793 hospitalist physician records with a practice address in Washington. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 48% of them.

  • NPI issued2012 · 48% of these records are older, 48% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated2009 · median 2011 among the 649 with a school on file
  • Record last updated2019 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hospitalist Physician providers in Washington

There are 793 hospitalist physician records in Washington.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Michael Fujimoto, M.D.Seattle, WA 981331073623906
  2. Nima KaramoozSeattle, WA 981331447679691
  3. Amie Macnab, M.D.Seattle, WA 981331447368550
  4. Katayoun Neshat-Fateh, MDSeattle, WA 981331558338095
  5. Nguyen-Lan Nguyen, M.D.Seattle, WA 981331487756003
  6. Elizabeth Plotkin, M.D.Seattle, WA 981331538116892
  7. Laura Quinnan-Hostein, M.D.Seattle, WA 981331437264207
  8. David Ramenofsky, MDSeattle, WA 981331851591580

Common questions

What is Donna J. Pedroza, MBBS, MA's NPI number?

Donna J. Pedroza, MBBS, MA's National Provider Identifier (NPI) is 1376819425, issued on Mar 22, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Donna J. Pedroza, MBBS, MA located?

The NPPES record lists a practice address at 1550 N 115TH St # Msd149b, Seattle, WA, 98133. Phone: (206) 668-1500. Providers update this record themselves, so call before visiting.

How can I verify Donna J. Pedroza, MBBS, MA's license?

NPPES lists Washington license number MD60483510, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Donna J. Pedroza, MBBS, MA prescribe under Medicare Part D?

In 2024, Donna J. Pedroza, MBBS, MA had 129 Medicare Part D claims for 47 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Donna J. Pedroza, MBBS, MA's MIPS final score?

The 2023 MIPS final score is 93.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.