Active NPI 1750492914 Individual Practitioner Male Practitioner

Dr. Randall Wayne Pflugrad , MD

Internal Medicine • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Randall Pflugrad, MD is a registered healthcare professional specializing in Internal Medicine in Spokane, WA. Practice services are available at 5633 N LIDGERWOOD ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5633 N Lidgerwood St

Spokane, WA 992081224

Telephone 5092526336

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Washington Facility NPI 1003006008

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spokane, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

235 Specialists

Practicing in Spokane, WA (3169 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	104	52	$280.00	$91.15
99306 Initial nursing facility visit, typically 45 minutes per day	48	47	$509.00	$166.29
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	35	34	$399.00	$129.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	17	$280.00	$91.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$242.00	$53.61
99316 Nursing facility discharge management, more than 30 minutes	12	12	$324.00	$104.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	945	263	$273.66	$92.89
99306 Initial nursing facility visit, typically 45 minutes per day	201	191	$496.94	$169.88
99335 Established patient assisted living visit, typically 25 minutes	139	47	$285.96	$97.27
99316 Nursing facility discharge management, more than 30 minutes	116	115	$314.82	$107.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	96	95	$235.13	$54.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	25	$273.00	$92.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	63	50	$206.65	$70.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	52	51	$388.77	$131.68
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	45	38	$402.67	$136.66
99336 Established patient assisted living visit, typically 40 minutes	20	15	$400.00	$136.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	841	272	$260.29	$92.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	174	116	$197.54	$69.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	164	154	$368.91	$131.66
99306 Initial nursing facility visit, typically 45 minutes per day	150	142	$475.34	$168.66
99335 Established patient assisted living visit, typically 25 minutes	146	48	$271.68	$96.18
99316 Nursing facility discharge management, more than 30 minutes	117	110	$301.18	$106.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	78	76	$225.35	$53.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	69	25	$260.97	$92.62
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	45	41	$384.60	$137.10
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	40	26	$182.85	$61.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	17	$198.36	$69.65
99336 Established patient assisted living visit, typically 40 minutes	23	20	$383.91	$137.11
99497 Advance care planning, first 30 minutes	18	17	$297.44	$79.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,097	327	$248.03	$91.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	246	222	$353.02	$130.67
99316 Nursing facility discharge management, more than 30 minutes	136	126	$286.90	$106.22
99336 Established patient assisted living visit, typically 40 minutes	119	38	$365.53	$135.93
99306 Initial nursing facility visit, typically 45 minutes per day	116	113	$450.24	$167.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	71	$190.83	$69.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	63	16	$245.81	$91.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	49	41	$366.35	$136.39
99335 Established patient assisted living visit, typically 25 minutes	26	15	$261.00	$95.01
99326 New patient assisted living visit, typically 45 minutes	11	11	$380.45	$139.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,109	297	$235.85	$85.96
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	166	154	$337.29	$122.30
99306 Initial nursing facility visit, typically 45 minutes per day	132	128	$428.07	$156.52
99316 Nursing facility discharge management, more than 30 minutes	112	109	$273.50	$99.24
99336 Established patient assisted living visit, typically 40 minutes	105	38	$351.63	$126.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	30	$234.67	$86.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	74	62	$350.73	$127.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	42	$180.17	$64.97
99335 Established patient assisted living visit, typically 25 minutes	16	14	$251.25	$89.15

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA WA 20004

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Bardomiano Sanchez

Internal Medicine

NPI 1184736407

Mark Erwin , PA-C

Physician Assistant

NPI 1881693919

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2011

Registered at 5633 N LIDGERWOOD ST, SPOKANE, WA 992081224 (Tel: 5092526336)

📍

Updated Business Mailing Address December 02, 2011

Registered at 5633 N LIDGERWOOD ST, SPOKANE, WA 992081224 (Tel: 5092526336)

👤

Provider Name / Credentials Updated December 02, 2011

Recorded as RANDALL PFLUGRAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2011

Internal Medicine (License #WA 20004 in WA)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750492914

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: December 02, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5633 N Lidgerwood St

Spokane, WA 992081224

Phone: 5092526336

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.