Unknown Individual – Emergency Medicine Physician, NPI 1912956376
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
380 Chase Ave
Walla Walla, WA 993622924
Phone: (509) 897-3000
Fax: (509) 897-5899
Type: Location
1025, South 2nd Avenue, Walla Walla, Walla Walla County, Washington, 99362, United States
WALLA WALLA, WA 993624116
Phone: (509) 525-0480
Fax: (509) 527-8195
Type: Location
218;220, Northeast A Street, College Place, Walla Walla County, Washington, 99324, United States
COLLEGE PLACE, WA 993241114
Phone: (509) 529-0258
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-01-22 • Largest payer in this snapshot: Inari Medical, Inc. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $23 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 51 | $0 |
| 81003 | Automated urinalysis test | 48 | 44 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 21 | 20 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Hospitalist, Internal Medicine | UT | |
| Nurse Practitioner | WA | |
| Internal Medicine, Hospitalist | ID | |
| N E U R O L O G Y | OR | |
| Family Practice | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| Physical Therapist In Private Practice | WA | |
| Nurse Practitioner | WA |
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