Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Lance R Keck, PA-C

Individual provider Surgical Physician Assistant · NPI 1174793590

Mr. Lance R Keck, PA-C is a Physician Assistant in Tacoma, Washington. Qualified in 2008, 18 years ago. Practices with Multicare Health System, a 2,302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
18
Licensed in
OR, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1708 Yakima Ave Ste 102
Tacoma, WA 98405-5307
Phone: (253) 272-7777
Fax: (360) 830-1385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60109612 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01360 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60109612 (WA)

Record details

NPI number1174793590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients27
Services billed 46 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Education $32,200 28 payments · educational material or training, not a fee
Travel and Lodging $10,022 48 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $357 14 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Capital Medical Center Hospital · Olympia, WA · listed as Columbia Capital Medical Center
  • Multicare Auburn Medical Center Hospital · Auburn, WA
  • Tacoma General Allenmore Hospital Hospital · Tacoma, WA

Colleagues at Multicare Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2302 clinicians in the practice; 12 are shown here.

Other providers in Tacoma