Unknown Individual – Physician Assistant, NPI 1093923005
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX O
11 SCHOUWEILER RD
ELMA, WA 985410529
Phone: (360) 482-5300
Fax: (360) 482-5900
Type: Mailing
11 SCHOUWEILER RD
ELMA, WA 985419306
Phone: (360) 482-5300
Fax: (360) 482-5900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-01-15 • Largest payer in this snapshot: Medtronic, Inc. ($140).
Total Amount
$153
General + Research + Ownership
Payments
2
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $140 |
| HARMONY BIOSCIENCES LLC | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 94 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 76 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
Insurance plans in this area (ZIP 98541)
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