Active NPI 1982657227 Individual Practitioner Male Practitioner

Dr. Marek Janout , MD

Internal Medicine - Cardiovascular Disease • Pullman, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marek Janout, MD is a certified Internal Medicine - Cardiovascular Disease practicing in Pullman, WA. With approximately 27 years of clinical experience since graduating from Creighton University School Of Medicine in 1999, Dr. Janout delivers high-quality medical care to the local community at 825 SE BISHOP BLVD STE 201.

Dr. Janout is affiliated with Public Hospital District 1-A Of Whitman County and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of heart with color-depicted blood flow, rate, direction and valve function, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

825 Se Bishop Blvd Ste 201

Pullman, WA 991635517

Telephone 5093367577

Fax 5097152126

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Cardiovascular Disease in Pullman, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -1.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Pullman, WA (533 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Janout (27 Years) 27 Yrs

Pullman Specialty Average (28.5 Years) 28.5 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
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	309	294	$161.65	$63.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	160	$314.15	$119.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	171	163	$161.47	$63.05
93000 Routine ekg using at least 12 leads including interpretation and report	165	155	$161.16	$13.52
99213 Established patient office or other outpatient visit, typically 15 minutes	101	94	$227.08	$85.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$410.11	$157.16
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	56	55	$25.25	$15.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$277.40	$106.27
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	27	19	$66.56	$27.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	16	$449.80	$171.40
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	19	19	$61.42	$23.50
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	17	17	$55.00	$23.28
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	11	11	$1932.91	$791.91
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	11	11	$326.27	$64.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	527	448	$17.00	$7.97
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	237	236	$143.00	$68.19
99213 Established patient office or other outpatient visit, typically 15 minutes	61	61	$186.00	$79.68
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	60	55	$56.00	$22.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	31	$200.00	$98.06
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	57	52	$62.00	$29.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	53	$246.38	$113.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	29	$139.00	$68.20
99213 Established patient office or other outpatient visit, typically 15 minutes	51	51	$102.78	$64.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$160.57	$94.96
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	40	40	$166.00	$73.70
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	38	37	$29.00	$13.84
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$172.00	$13.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$386.00	$189.93
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	29	28	$25.00	$11.91
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	28	22	$7.00	$3.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$227.08	$139.73
93308 Ultrasound of heart, follow-up	24	20	$51.00	$24.59
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	24	23	$44.00	$20.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	23	$17.00	$7.98
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	21	17	$15.00	$6.99
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	19	19	$558.00	$273.30
93280 Programming of dual lead pacemaker system	16	15	$76.00	$37.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$327.33	$142.17
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	12	12	$133.00	$26.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$321.00	$175.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	465	455	$142.00	$72.52
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	351	322	$17.00	$8.27
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	202	83	$56.00	$25.17
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	193	80	$62.00	$31.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	69	$197.00	$100.82
99213 Established patient office or other outpatient visit, typically 15 minutes	118	113	$111.24	$49.58
99213 Established patient office or other outpatient visit, typically 15 minutes	118	115	$187.51	$66.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	109	$167.46	$76.57
93000 Routine ekg using at least 12 leads including interpretation and report	112	107	$166.00	$15.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	56	$138.00	$70.14
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	89	86	$29.00	$14.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	86	84	$25.00	$11.67
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	81	81	$171.00	$77.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	67	$241.66	$97.70
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	69	68	$43.00	$21.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	61	$226.12	$108.16
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	58	57	$7.00	$3.16
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec	57	29	$78.00	$27.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$382.00	$194.62
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	57	29	$51.00	$27.59
93280 Programming of dual lead pacemaker system	53	38	$74.00	$38.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	40	$308.67	$131.09
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	44	44	$559.00	$280.63
93308 Ultrasound of heart, follow-up	41	36	$50.00	$25.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	34	$17.00	$8.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$361.00	$158.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$258.00	$133.10
93285 Programming of cardiac rhythm monitor system	27	19	$51.00	$25.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	23	$75.00	$38.01
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	25	25	$133.00	$26.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$267.00	$124.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$422.60	$189.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$308.00	$140.64
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	23	23	$19.13	$7.03
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	21	21	$51.00	$26.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	21	21	$390.33	$89.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$61.00	$24.80
93314 Interpretation and report of ultrasound of heart	19	19	$175.00	$88.89
93312 Ultrasound of heart with probe in esophagus, with report	15	15	$212.00	$102.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$245.86	$93.36
99291 Critical care, first 30-74 minutes	13	11	$420.00	$214.57
93280 Programming of dual lead pacemaker system	13	12	$185.69	$66.69
33285 Insertion of heart rhythm monitor under skin	12	12	$186.00	$80.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$173.00	$73.16
33208 Insertion of pacemaker and upper and lower heart chamber electrode	11	11	$1106.00	$466.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	769	645	$41.15	$8.25
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	487	477	$136.00	$72.05
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	167	76	$56.00	$25.88
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	160	70	$61.00	$31.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	121	$154.56	$75.97
99213 Established patient office or other outpatient visit, typically 15 minutes	135	131	$162.71	$60.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	130	77	$136.00	$70.05
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	129	129	$171.00	$77.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	108	$229.05	$92.11
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	116	116	$28.00	$14.55
93000 Routine ekg using at least 12 leads including interpretation and report	114	112	$161.00	$15.43
99213 Established patient office or other outpatient visit, typically 15 minutes	114	107	$99.00	$49.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	112	104	$25.00	$11.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	49	$197.00	$100.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	79	$214.12	$106.97
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	77	67	$6.00	$3.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	48	$74.00	$37.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	68	67	$16.00	$8.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	53	$290.67	$128.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	63	61	$555.00	$281.82
93280 Programming of dual lead pacemaker system	61	44	$73.00	$37.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$381.00	$194.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	47	47	$286.72	$89.33
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	42	42	$42.00	$21.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$323.63	$140.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$397.00	$181.23
93308 Ultrasound of heart, follow-up	38	31	$49.00	$25.29
93299 Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days	38	21	$78.00	$12.43
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	38	21	$51.00	$26.97
93285 Programming of cardiac rhythm monitor system	37	28	$50.00	$25.91
93314 Interpretation and report of ultrasound of heart	34	32	$173.00	$88.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$246.80	$123.81
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	29	28	$51.00	$25.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$321.18	$161.65
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	21	18	$14.00	$7.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$153.86	$72.85
93312 Ultrasound of heart with probe in esophagus, with report	20	19	$210.00	$107.82
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	19	19	$132.00	$25.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$216.76	$91.75
99291 Critical care, first 30-74 minutes	17	12	$420.00	$208.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$257.00	$131.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$48.00	$24.51
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$42.00	$21.76
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	15	15	$28.00	$14.59
33285 Insertion of heart rhythm monitor under skin	15	15	$176.00	$84.43
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	14	11	$62.00	$31.88
92960 External shock to heart to regulate heart beat	13	13	$209.00	$106.72
33208 Insertion of pacemaker and upper and lower heart chamber electrode	13	13	$1105.00	$494.26
93280 Programming of dual lead pacemaker system	13	13	$182.00	$59.24
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	13	13	$704.00	$360.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	760	651	$41.66	$8.09
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	373	364	$122.00	$70.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	173	131	$208.00	$105.61
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	148	147	$171.00	$75.98
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	137	59	$56.00	$26.73
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	134	133	$28.00	$14.17
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	129	55	$64.00	$30.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	108	$149.77	$74.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	111	$207.59	$89.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	57	$196.00	$97.07
93000 Routine ekg using at least 12 leads including interpretation and report	98	98	$156.00	$15.37
99213 Established patient office or other outpatient visit, typically 15 minutes	98	98	$162.35	$60.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	53	$136.00	$69.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	70	$274.79	$124.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	78	$379.00	$192.63
99213 Established patient office or other outpatient visit, typically 15 minutes	79	78	$95.00	$48.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	78	78	$16.00	$8.13
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	73	70	$25.00	$11.95
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	71	67	$6.00	$3.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	47	$73.00	$37.24
93280 Programming of dual lead pacemaker system	67	44	$73.00	$37.11
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	58	58	$42.00	$21.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$319.31	$159.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$383.20	$180.78
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	42	42	$552.00	$276.73
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	42	17	$51.00	$26.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	40	39	$248.50	$86.53
93312 Ultrasound of heart with probe in esophagus, with report	30	27	$213.00	$106.01
93308 Ultrasound of heart, follow-up	30	28	$49.00	$24.89
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	29	29	$60.83	$25.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$246.40	$122.21
93285 Programming of cardiac rhythm monitor system	23	19	$50.00	$25.57
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	22	22	$14.00	$7.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$307.00	$140.92
93280 Programming of dual lead pacemaker system	19	15	$181.00	$55.71
92960 External shock to heart to regulate heart beat	19	18	$217.00	$105.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$256.00	$129.62
93314 Interpretation and report of ultrasound of heart	17	17	$176.00	$87.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$218.15	$86.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$142.00	$72.38
99239 Hospital discharge day management, more than 30 minutes	13	13	$201.00	$102.45
33208 Insertion of pacemaker and upper and lower heart chamber electrode	12	11	$1105.00	$473.25
33282 Implantation patient-activated heart monitoring device	11	11	$494.00	$210.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	919	784	$35.06	$8.09
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	398	383	$109.00	$61.38
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	157	157	$187.00	$76.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	148	115	$184.00	$105.27
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	148	148	$25.00	$14.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	130	$191.98	$89.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	108	$131.00	$74.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	116	113	$14.00	$8.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	96	$241.82	$118.71
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	105	53	$100.00	$26.42
93000 Routine ekg using at least 12 leads including interpretation and report	100	98	$154.00	$15.34
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	96	45	$57.00	$33.66
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	84	84	$37.00	$21.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	43	$173.00	$98.92
99213 Established patient office or other outpatient visit, typically 15 minutes	70	69	$145.73	$58.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	44	$120.00	$68.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$336.00	$191.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$266.73	$134.81
99213 Established patient office or other outpatient visit, typically 15 minutes	58	57	$88.76	$48.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	56	54	$25.00	$11.73
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	55	53	$6.00	$3.07
93280 Programming of dual lead pacemaker system	52	41	$66.00	$37.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$217.37	$122.31
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	45	45	$518.00	$276.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	33	$65.00	$37.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$286.06	$159.25
93285 Programming of cardiac rhythm monitor system	33	21	$45.00	$25.09
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	32	$172.25	$70.96
93308 Ultrasound of heart, follow-up	31	26	$44.00	$24.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$170.60	$83.20
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	27	17	$45.00	$26.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$334.50	$176.22
99239 Hospital discharge day management, more than 30 minutes	22	22	$178.00	$101.73
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers	20	20	$12.00	$7.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$132.74	$72.15
33282 Implantation patient-activated heart monitoring device	17	17	$655.00	$208.82
93280 Programming of dual lead pacemaker system	16	15	$166.00	$51.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$234.27	$129.47
93312 Ultrasound of heart with probe in esophagus, with report	14	14	$206.00	$105.73
93314 Interpretation and report of ultrasound of heart	11	11	$174.00	$86.97
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	11	11	$49.09	$25.71
92960 External shock to heart to regulate heart beat	11	11	$204.00	$104.93

Medical Specialties & State Licenses

CMS Verified: 2025-07-10

Internal Medicine - Cardiovascular Disease Primary Specialty

NUCC Taxonomy Code: 207RC0000X

State License WA MD00045341

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License ID M-9816

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

807233700 (ID)

Medicaid State Provider ID

1023698 (WA)

Hospital & Practice Group Affiliations

Public Hospital District 1-A Of Whitman County

835 Se Bishop Blvd, Pullman, WA 991635512

Phone: 5093322541

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jennifer Sawmiller , PA

Physician Assistant - Medical

NPI 1710433859

Physician Assistant

Dr. David Jones , MD

Internal Medicine - Cardiovascular Disease

NPI 1922057454

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location July 10, 2025

Registered at 825 SE BISHOP BLVD STE 201, PULLMAN, WA 991635517 (Tel: 5093367577)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2025

Internal Medicine (License #M-9816 in ID)

📍

Updated Practice Location December 19, 2023

Registered at 825 SE BISHOP BLVD STE 401, PULLMAN, WA 991635517 (Tel: 5093367577)

📍

Updated Business Mailing Address December 19, 2023

Registered at 825 SE BISHOP BLVD STE 401, PULLMAN, WA 991635517 (Tel: 5093367577)

📍

Updated Practice Location January 03, 2023

Registered at 1550 S PIONEER WAY, MOSES LAKE, WA 988374613 (Tel: 5097939791)

📍

Updated Business Mailing Address January 03, 2023

Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2023

Internal Medicine (License #MD00045341 in WA)

✅

NPI Profile Active December 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 26, 2016

Registered at 700 W IRONWOOD DR, STE 320, COEUR D ALENE, ID 838142656 (Tel: 2086255250)

📍

Updated Business Mailing Address December 26, 2016

Registered at 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 838146051 (Tel: 2086255085)

👤

Provider Name / Credentials Updated December 26, 2016

Recorded as MAREK JANOUT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2016

Internal Medicine (License #M-9816 in ID)

🟢

Initial NPI Registration & Enumeration May 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1982657227

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: July 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

825 Se Bishop Blvd Ste 401

Pullman, WA 991635517

Phone: 5093367577

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.