KIMBERLY ANNE KUMIKO PORTCH (PA-C) – Physician Assistant, NPI 1164058277
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KIMBERLY ANNE KUMIKO PORTCH (PA-C)
13424 E MISSION AVE
SPOKANE VALLEY, WA 992162759
Phone: (509) 822-4200
Type: Location
7715 173RD ST SW
EDMONDS, WA 980265017
Phone: (425) 478-9283
Type: Mailing
1126 E 12TH AVE
SPOKANE, WA 992022514
Phone: (425) 478-9283
Type: Mailing
PO BOX 117287
ATLANTA, GA 303687287
Phone: (239) 432-8331
Fax: (813) 321-1296
Type: Mailing
6001 N MAYFAIR ST
SPOKANE, WA 992081129
Phone: (509) 462-2273
Fax: (509) 462-2275
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 374 Open Payments records for all available years, with a total value of $8,237.
Total Amount is formed as General ($8,237) + Research ($0) + Ownership ($0) = $8,237.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($918).
Total Amount
$8,237
General + Research + Ownership
Payments
374
Total payment records
General Amount
$8,237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $918 |
| Novartis Pharmaceuticals Corporation | $539 |
| PFIZER INC. | $507 |
| E.R. Squibb & Sons, L.L.C. | $353 |
| Celgene Corporation | $260 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201124002210 | I | Physician Assistant | ID | TBD |
| I20211007002744 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,740 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 52 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 48 | 44 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 43 | 42 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 41 | 39 | $0 |
Insurance plans in this area (ZIP 99216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| - | GA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| - | WA | |
| - | MT | |
| H E M A T O L O G Y/ O N C O L O G Y | WA | |
| Hematology/Oncology, Internal Medicine | ID | |
| - | UT | |
| - | ID |
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