MR. THOMAS RUSSELL PRIESKORN (PA-C) – Medical Physician Assistant, NPI 1366421174
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for MR. THOMAS RUSSELL PRIESKORN (PA-C)
Shelton Post Office, 201, C Street, Shelton, Buffalo County, Nebraska, 68876, United States
SHELTON, WA 985845001
Phone: (360) 426-1611
Type: Mailing
Mason General Hospital, 901, Mountain View Drive, Shelton, Mason County, Washington, 98584, United States
SHELTON, WA 985844401
Phone: (360) 426-1611
Type: Location
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: 2007-06-25
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 |
|---|---|---|---|---|
| I20070625000238 | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | 24 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 12 | 11 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98584)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional Cardiology | AK | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physician Assistant | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | PA | |
| Physician Assistant | WA | |
| Physician Assistant | UT |
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