Active NPI 1023671013 Individual Practitioner Male Practitioner

Neal Andrew Pickering , ARNP

Nurse Practitioner • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Neal Pickering, ARNP is a certified Nurse Practitioner practicing in Spokane Valley, WA. With approximately 8 years of clinical experience since completing medical education in 2018, Neal Pickering delivers high-quality medical care to the local community at 13424 E MISSION AVE STE A.

Neal Pickering is affiliated with Multicare Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, fluoroscopic guidance for needle placement, aspiration of fluid from chest cavity using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13424 E Mission Ave Ste A

Spokane Valley, WA 992162759

Telephone 8552298012

Fax 5094622275

Associated Practice Facility / Clinic

🏢 American Oncology Partners, P.a. Facility NPI 1629809348

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Spokane Valley, WA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -0.1 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

51 Specialists

Practicing in Spokane Valley, WA (2339 Statewide)

Telehealth Adoption Rate

29.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickering (8 Years) 8 Yrs

Spokane Valley Specialty Average (8.1 Years) 8.1 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$410.00	$106.71
77002 Fluoroscopic guidance for needle placement	31	30	$100.00	$20.79
32555 Aspiration of fluid from chest cavity using imaging guidance	28	25	$371.82	$89.69
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	15	$39.00	$9.93
20610 Aspiration and/or injection of fluid from large joint	15	15	$153.71	$36.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$63.60	$14.60
76937 Ultrasonic guidance for blood vessel access	11	11	$52.80	$11.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	57	56	$39.00	$10.20
32555 Aspiration of fluid from chest cavity using imaging guidance	49	44	$380.98	$93.23
76937 Ultrasonic guidance for blood vessel access	48	48	$52.80	$11.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	45	45	$63.60	$14.62
49083 Drainage of fluid from abdominal cavity using imaging guidance	36	27	$1033.00	$84.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	31	31	$4070.71	$279.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$394.44	$108.89
36589 Removal of central venous catheter for infusion	14	13	$454.80	$113.60
74221 Double contrast x-ray of esophagus	11	11	$114.00	$28.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	63	50	$376.10	$94.53
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	45	44	$39.00	$10.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	37	37	$63.60	$15.48
76937 Ultrasonic guidance for blood vessel access	36	36	$52.80	$11.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$385.00	$112.72
49083 Drainage of fluid from abdominal cavity using imaging guidance	19	15	$1033.00	$84.53
36590 Removal of peripheral venous catheter for infusion	17	17	$651.00	$155.60
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$3943.50	$279.89
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	14	14	$2079.00	$217.77
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	13	13	$294.00	$73.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$385.00	$114.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$568.00	$145.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$367.00	$117.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$537.00	$173.24
99219 Hospital observation care, typically 50 minutes	14	14	$360.00	$116.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$513.00	$171.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$347.00	$116.07

Medical Specialties & State Licenses

CMS Verified: 2024-06-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60933174

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Multicare Health System

4700 Point Fosdick Dr, Gig Harbor, WA 983351706

Multicare Health System

400 E 5th Ave, Spokane, WA 992021334

Phone: 5098382531

Multicare Health System

311 S L St, Tacoma, WA 984053720

Multicare Health System

300 E 5th Ave, Spokane, WA 992021334

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Max Seaton , MD

Surgery - Surgical Oncology

NPI 1184980260

Doctor of Medicine (M.D.)

Dr. Leila Zlitni , PharmD, MSHI

Pharmacist

NPI 1245150564

Doctor of Pharmacy (Pharm.D.), MSHI

Dr. Mirela Andrei , MD

Internal Medicine - Medical Oncology

NPI 1578875225

Doctor of Medicine (M.D.)

Dr. Arvind Chaudhry , MD

Internal Medicine - Hematology & Oncology

NPI 1750336236

Doctor of Medicine (M.D.)

Annalee Wilson , NP

Nurse Practitioner

NPI 1760767412

Nurse Practitioner

Mackenzi Heaton , ARNP

Nurse Practitioner

NPI 1811657034

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 04, 2024

Registered at 13424 E MISSION AVE STE A, SPOKANE VALLEY, WA 992162759 (Tel: 8552298012)

📍

Updated Business Mailing Address May 17, 2019

Registered at 800 W 5TH AVE, SPOKANE, WA 992042803 (Tel: 5098382531)

✅

NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2019

Registered at 800 W 5TH AVE, SPOKANE, WA 992042803 (Tel: 5098382531)

📍

Updated Business Mailing Address April 16, 2019

Registered at PO BOX 3649, SPOKANE, WA 992203649

👤

Provider Name / Credentials Updated April 16, 2019

Recorded as NEAL PICKERING, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Nurse Practitioner (License #AP60933174 in WA)

🟢

Initial NPI Registration & Enumeration April 16, 2019

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: 1023671013

Entity Type:

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

Enumeration Date: April 16, 2019

Last Update: June 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 W 5th Ave

Spokane, WA 992042803

Phone: 5098382531

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.