MICHAEL MINICK (MD) – Internal Medicine Physician, NPI 1164536728
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
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Provider Addresses for MICHAEL MINICK (MD)
Tri-State Memorial Hospital, 1221, Highland Avenue, Clarkston, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994032829
Phone: (509) 758-5511
Type: Location
1319, 7th Street, Lewiston, Nez Perce County, Idaho, 83501, United States
LEWISTON, ID 83501
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060322000021 | I | Internal Medicine | ID | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 126 | 75 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 44 | 44 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 27 | 27 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 22 | 15 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 13 | 13 | $0 |
Insurance plans in this area (ZIP 99403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | OR | |
| Family Practice, General Practice | ID | |
| Family Practice, Internal Medicine | ID | |
| Internal Medicine | NY | |
| - | WA | |
| Internal Medicine | WA | |
| Physician Assistant | ID | |
| Internal Medicine | ID | |
| Hospitalist, Internal Medicine | WA | |
| Internal Medicine | ID |
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