DR. SUZANNE HEIDI SAMPLE STAUDINGER (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1861572737
Geriatric Medicine (Family Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. SUZANNE HEIDI SAMPLE STAUDINGER (MD)
10803, South Freya Road, Spokane County, Washington, 99223, United States
SPOKANE, WA 992239417
Phone: (509) 448-3991
Fax: (509) 448-4142
Type: Mailing
723 MEMORIAL ST
PROSSER, WA 993501524
Phone: (509) 786-2222
Fax: (509) 786-6612
Type: Mailing
701 DALE AVE
BENTON CITY, WA 993205250
Phone: (509) 588-4077
Fax: (509) 588-4197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $678.
Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($316).
Total Amount
$678
General + Research + Ownership
Payments
35
Total payment records
General Amount
$678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $316 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $109 |
| AstraZeneca Pharmaceuticals LP | $32 |
| Kyowa Kirin, Inc. | $28 |
| Medtronic, Inc. | $28 |
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: 2010-07-21
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 |
|---|---|---|---|---|
| I20100721000771 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | TX | |
| Internal Medicine | OR | |
| - | WA | |
| - | IL | |
| - | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | AZ |
Reviews
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