Active NPI 1275552531 Individual Practitioner Male Practitioner

Dr. Mark R Merrell , MD

Orthopaedic Surgery • Kennewick, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Merrell, MD is a certified Orthopaedic Surgery practicing in Kennewick, WA. With approximately 36 years of clinical experience since graduating from University Of Utah School Of Medicine in 1990, Dr. Merrell delivers high-quality medical care to the local community at 6703 W RIO GRANDE AVE.

Dr. Merrell is affiliated with Tri-City Orthopaedic Clinic P S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6703 W Rio Grande Ave

Kennewick, WA 993362623

Telephone 5094605588

Fax 5097835438

Associated Practice Facility / Clinic

🏢 Tri-City Orthopaedic Clinic, P S C Facility NPI 1215020144

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Kennewick, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Kennewick, WA (707 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Merrell (36 Years) 36 Yrs

Kennewick Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	7,499	112	$0.43	$0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	4,608	74	$42.00	$8.82
99213 Established patient office or other outpatient visit, typically 15 minutes	508	345	$299.60	$84.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	457	137	$23.00	$6.89
20610 Aspiration and/or injection of fluid from large joint	346	177	$238.12	$65.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	280	$421.53	$117.32
73560 X-ray of knee, 1-2 views	294	211	$114.41	$31.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	211	172	$186.68	$52.69
73502 X-ray of hip, 2-3 views	187	134	$159.12	$44.91
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	182	155	$340.09	$94.55
73562 X-ray of knee, 3 views	159	133	$136.81	$38.04
73721 Mri scan of leg joint without contrast	135	116	$604.27	$130.96
73030 X-ray of shoulder, minimum of 2 views	115	95	$116.49	$32.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$547.65	$152.05
J1020 Injection, methylprednisolone acetate, 20 mg	101	29	$22.87	$6.74
20985 Computer-assisted surgery for muscle and bone procedure	96	94	$459.98	$129.28
27447 Replacement of knee joint, both sides of knee	94	87	$4147.98	$1137.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$366.15	$105.30
73221 Mri scan of arm joint without contrast	55	52	$631.05	$144.60
72148 MRI scan of lower spinal canal	42	41	$1200.00	$111.06
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$4154.75	$1167.91
36415 Insertion of needle into vein for collection of blood sample	34	32	$100.00	$8.65
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$100.00	$13.23
73521 X-ray of both hips, 2 views	23	23	$137.73	$38.96
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$133.16	$38.25
23120 Partial removal of collar bone	15	15	$1949.45	$273.96
23420 Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone	12	12	$3185.93	$895.43
72195 Mri scan of pelvis without contrast	11	11	$601.15	$168.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	4,034	72	$42.00	$9.33
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	667	109	$21.82	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	604	400	$296.75	$88.61
J1020 Injection, methylprednisolone acetate, 20 mg	422	107	$19.63	$5.76
20610 Aspiration and/or injection of fluid from large joint	308	152	$233.71	$69.43
73560 X-ray of knee, 1-2 views	305	222	$115.37	$34.61
73502 X-ray of hip, 2-3 views	186	132	$158.24	$47.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	139	$186.20	$56.25
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	151	126	$349.94	$103.73
20985 Computer-assisted surgery for muscle and bone procedure	137	127	$465.50	$140.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$367.18	$110.81
27447 Replacement of knee joint, both sides of knee	120	110	$4175.93	$1256.04
73562 X-ray of knee, 3 views	107	86	$136.71	$41.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	98	$419.67	$126.26
73030 X-ray of shoulder, minimum of 2 views	98	80	$116.46	$35.35
73721 Mri scan of leg joint without contrast	98	90	$626.71	$157.26
73221 Mri scan of arm joint without contrast	42	39	$607.44	$160.33
27130 Replacement of thigh bone and hip joint with prosthesis	40	39	$4180.15	$1243.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$545.45	$162.40
72148 MRI scan of lower spinal canal	29	29	$1200.00	$114.78
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$100.00	$14.06
36415 Insertion of needle into vein for collection of blood sample	25	25	$100.00	$8.09
76881 Complete ultrasound of joint of arm or leg	21	21	$309.52	$54.33
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$4707.16	$1368.68
73020 X-ray of shoulder, 1 view	13	13	$72.57	$21.97
73521 X-ray of both hips, 2 views	13	13	$138.84	$42.12
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$134.58	$40.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,424	66	$41.84	$10.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	874	107	$20.76	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	499	352	$285.84	$90.24
20610 Aspiration and/or injection of fluid from large joint	283	155	$235.40	$70.21
73560 X-ray of knee, 1-2 views	239	193	$112.47	$35.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	158	$179.88	$56.39
J1020 Injection, methylprednisolone acetate, 20 mg	214	69	$9.72	$2.95
73502 X-ray of hip, 2-3 views	131	97	$154.89	$48.31
27447 Replacement of knee joint, both sides of knee	109	107	$4185.26	$1249.30
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	108	101	$318.61	$103.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$358.94	$109.98
73030 X-ray of shoulder, minimum of 2 views	100	81	$111.17	$33.87
73562 X-ray of knee, 3 views	98	78	$132.81	$42.17
76881 Complete ultrasound of joint of arm or leg	82	71	$198.13	$59.47
73721 Mri scan of leg joint without contrast	76	67	$645.95	$150.33
20985 Computer-assisted surgery for muscle and bone procedure	66	66	$465.93	$142.50
27130 Replacement of thigh bone and hip joint with prosthesis	44	43	$4185.23	$1249.98
73221 Mri scan of arm joint without contrast	31	28	$595.84	$150.13
36415 Insertion of needle into vein for collection of blood sample	31	29	$100.00	$2.96
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$95.20	$14.31
73521 X-ray of both hips, 2 views	25	24	$136.65	$42.37
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$4683.03	$1440.11
72148 MRI scan of lower spinal canal	18	18	$806.30	$105.63
23120 Partial removal of collar bone	17	17	$1918.17	$296.08
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	15	15	$188.76	$57.40
73020 X-ray of shoulder, 1 view	12	12	$72.13	$21.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	5,360	93	$41.67	$10.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,210	223	$17.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	571	409	$230.00	$90.36
20610 Aspiration and/or injection of fluid from large joint	394	197	$225.00	$70.73
73560 X-ray of knee, 1-2 views	298	223	$98.00	$34.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	153	$140.00	$55.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	192	192	$330.00	$111.91
73502 X-ray of hip, 2-3 views	170	140	$131.00	$47.21
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	151	128	$233.00	$100.58
73030 X-ray of shoulder, minimum of 2 views	134	110	$92.00	$33.72
20985 Computer-assisted surgery for muscle and bone procedure	113	111	$458.00	$143.70
73562 X-ray of knee, 3 views	99	83	$114.00	$39.90
73721 Mri scan of leg joint without contrast	99	94	$435.76	$158.28
76881 Complete ultrasound of joint of arm or leg	93	89	$271.00	$65.73
27447 Replacement of knee joint, both sides of knee	83	81	$4224.00	$1280.48
73221 Mri scan of arm joint without contrast	42	40	$456.38	$164.84
27130 Replacement of thigh bone and hip joint with prosthesis	34	34	$4200.00	$1269.08
72148 MRI scan of lower spinal canal	24	24	$411.25	$116.28
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$52.00	$14.08
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$4533.00	$1386.94
73020 X-ray of shoulder, 1 view	16	16	$72.00	$21.13
29880 Removal of both knee cartilages using an endoscope	14	14	$1750.00	$455.43
73521 X-ray of both hips, 2 views	13	13	$117.00	$42.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	4,708	89	$41.67	$10.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,256	217	$17.00	$7.06
99213 Established patient office or other outpatient visit, typically 15 minutes	463	332	$221.07	$74.40
20610 Aspiration and/or injection of fluid from large joint	371	192	$186.08	$69.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	275	203	$134.78	$45.75
73560 X-ray of knee, 1-2 views	263	200	$97.83	$33.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$322.46	$107.26
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	143	121	$270.36	$99.51
20985 Computer-assisted surgery for muscle and bone procedure	130	119	$454.45	$149.79
73502 X-ray of hip, 2-3 views	129	104	$130.49	$44.89
73030 X-ray of shoulder, minimum of 2 views	113	95	$92.60	$32.52
27447 Replacement of knee joint, both sides of knee	101	91	$4297.55	$1376.85
76881 Complete ultrasound of joint of arm or leg	89	85	$285.29	$77.98
73562 X-ray of knee, 3 views	89	80	$114.49	$38.84
73721 Mri scan of leg joint without contrast	81	75	$494.85	$156.88
73221 Mri scan of arm joint without contrast	47	43	$479.30	$160.57
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$4217.00	$1359.77
72148 MRI scan of lower spinal canal	22	22	$664.89	$119.20
73521 X-ray of both hips, 2 views	18	18	$119.44	$40.56
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$4508.00	$1489.80
29880 Removal of both knee cartilages using an endoscope	17	17	$1745.06	$547.77
73020 X-ray of shoulder, 1 view	15	15	$72.27	$21.64
29884 Repair of knee joint and removal of scar tissue using an endoscope	13	13	$1899.08	$597.64
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$52.00	$17.32
23120 Partial removal of collar bone	12	12	$1805.25	$253.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	6,545	124	$41.67	$11.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,718	275	$17.00	$6.71
99213 Established patient office or other outpatient visit, typically 15 minutes	624	448	$181.00	$73.34
20610 Aspiration and/or injection of fluid from large joint	576	274	$181.31	$66.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	427	294	$109.00	$45.20
73560 X-ray of knee, 1-2 views	328	238	$97.00	$32.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$268.00	$107.36
20985 Computer-assisted surgery for muscle and bone procedure	139	136	$437.00	$149.14
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	138	115	$181.00	$97.62
73502 X-ray of hip, 2-3 views	133	113	$125.00	$42.46
73030 X-ray of shoulder, minimum of 2 views	127	106	$96.00	$29.96
73721 Mri scan of leg joint without contrast	118	108	$645.08	$161.75
27447 Replacement of knee joint, both sides of knee	109	106	$4615.00	$1377.35
73562 X-ray of knee, 3 views	105	87	$118.00	$37.63
76881 Complete ultrasound of joint of arm or leg	68	64	$377.00	$89.62
73221 Mri scan of arm joint without contrast	66	62	$640.83	$159.06
72148 MRI scan of lower spinal canal	34	34	$758.20	$118.48
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$4323.00	$1378.07
29880 Removal of both knee cartilages using an endoscope	22	22	$1708.00	$533.19
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$4383.00	$1455.54
73521 X-ray of both hips, 2 views	14	14	$128.00	$38.55
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$112.00	$36.76
73020 X-ray of shoulder, 1 view	14	14	$74.00	$23.88
23120 Partial removal of collar bone	13	13	$1773.00	$296.94
29884 Repair of knee joint and removal of scar tissue using an endoscope	12	11	$1879.00	$624.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	5,233	99	$41.67	$11.79
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,640	268	$17.00	$7.01
99213 Established patient office or other outpatient visit, typically 15 minutes	548	398	$181.00	$67.81
20610 Aspiration and/or injection of fluid from large joint	533	260	$181.00	$62.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	442	298	$109.00	$41.10
73560 X-ray of knee, 1-2 views	320	243	$97.00	$29.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$268.00	$100.69
20985 Computer-assisted surgery for muscle and bone procedure	137	126	$437.00	$140.00
73502 X-ray of hip, 2-3 views	117	101	$125.00	$39.13
73030 X-ray of shoulder, minimum of 2 views	112	94	$96.00	$27.77
27447 Replacement of knee joint, both sides of knee	109	100	$4615.00	$1279.39
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	108	91	$181.00	$90.47
73721 Mri scan of leg joint without contrast	107	95	$591.12	$154.36
73562 X-ray of knee, 3 views	100	82	$118.00	$33.77
76881 Complete ultrasound of joint of arm or leg	80	77	$377.00	$96.66
73221 Mri scan of arm joint without contrast	62	55	$587.16	$155.92
72148 MRI scan of lower spinal canal	34	33	$588.68	$104.81
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$4323.00	$1290.53
29880 Removal of both knee cartilages using an endoscope	14	14	$1708.00	$476.81
23120 Partial removal of collar bone	12	12	$1773.00	$277.43
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$4383.00	$1292.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	5,056	96	$41.67	$12.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,706	263	$17.00	$6.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	529	331	$109.00	$41.01
20610 Aspiration and/or injection of fluid from large joint	508	253	$181.00	$63.03
99213 Established patient office or other outpatient visit, typically 15 minutes	505	364	$181.00	$68.03
73560 X-ray of knee, 1-2 views	295	221	$97.00	$29.13
73030 X-ray of shoulder, minimum of 2 views	184	140	$96.00	$27.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$268.00	$100.72
20985 Computer-assisted surgery for muscle and bone procedure	111	102	$437.00	$138.06
73562 X-ray of knee, 3 views	106	84	$118.00	$33.20
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	100	84	$181.00	$91.70
73502 X-ray of hip, 2-3 views	99	78	$125.00	$39.14
73721 Mri scan of leg joint without contrast	94	82	$566.38	$151.76
27447 Replacement of knee joint, both sides of knee	90	81	$4615.00	$1274.58
73221 Mri scan of arm joint without contrast	83	74	$578.49	$157.53
76881 Complete ultrasound of joint of arm or leg	38	36	$377.00	$113.32
23120 Partial removal of collar bone	35	35	$1773.00	$274.95
23472 Prosthetic repair of shoulder joint, total shoulder	26	22	$4383.00	$1328.09
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$4323.00	$1274.65
29880 Removal of both knee cartilages using an endoscope	21	21	$1708.00	$474.95
23420 Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone	21	21	$2917.00	$911.81
73020 X-ray of shoulder, 1 view	18	16	$74.00	$19.61
23130 Removal or repair of collar bone and shoulder blade joint	17	17	$1840.00	$556.23
29884 Repair of knee joint and removal of scar tissue using an endoscope	16	16	$1879.00	$580.60
72148 MRI scan of lower spinal canal	15	15	$581.85	$118.47

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD00033754

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8192569 (WA)

Commercial Insurance / Payer ID Rr Medicare

990005359 (WA)

Commercial Insurance / Payer ID Labor & Industries

116835 (WA)

Hospital & Practice Group Affiliations

Tri-City Orthopaedic Clinic P S C

6703 W Rio Grande Ave, Kennewick, WA 993362623

Phone: 5094605588

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Richard Withers , PA-C

Physician Assistant

NPI 1073813424

Physician Assistant (Certified)

Rosie Rivera

Interpreter

NPI 1083294904

Jacob Nelson , PT

Physical Therapist

NPI 1154842136

Physical Therapist

Dr. Judd Fitzgerald , MD

Orthopaedic Surgery - Sports Medicine

NPI 1205125945

Doctor of Medicine (M.D.)

Eric Lowe , PA-C

Physician Assistant

NPI 1205855574

Physician Assistant (Certified)

Lucy Cruz , OT

Occupational Therapist - Hand

NPI 1225175409

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

Registered at 6703 W RIO GRANDE AVE, KENNEWICK, WA 993362623 (Tel: 5094605588)

📍

Updated Business Mailing Address March 03, 2016

Registered at 6703 W RIO GRANDE AVE, KENNEWICK, WA 993362623 (Tel: 5094605588)

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as MARK MERRELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Orthopaedic Surgery (License #MD00033754 in WA)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275552531

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2006

Last Update: July 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6703 W Rio Grande Ave

Kennewick, WA 993362623

Phone: 5094605588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.