Unknown Individual – Allergy & Immunology Physician, NPI 1780677609
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1207, Evergreen Court, Clarkston, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994032843
Phone: (509) 751-0600
Fax: (509) 751-8863
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $622.
Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($361).
Total Amount
$622
General + Research + Ownership
Payments
24
Total payment records
General Amount
$622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,882 | 23 | $0 |
| 95117 | Professional service for multiple injections of allergen | 699 | 33 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 158 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 67 | $0 |
Insurance plans in this area (ZIP 99403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 44 | 44 |
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