Active NPI 1285878868 Individual Practitioner Male Practitioner

Dr. Kunal Vijay Shah , MD

Neurological Surgery • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kunal Shah, MD is a certified Neurological Surgery practicing in Spokane, WA. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Shah delivers high-quality medical care to the local community at 105 W 8TH AVE.

Dr. Shah is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion, computer-assisted radiosurgery application of headframe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 W 8th Ave
Ste 200

Spokane, WA 992042302

Telephone 5096249112

Associated Practice Facility / Clinic

🏢 Inland Empire Gastroenterology Ps Facility NPI 1750380812

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Spokane, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.2 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

18 Specialists

Practicing in Spokane, WA (239 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (17 Years) 17 Yrs

Spokane Specialty Average (20.2 Years) 20.2 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$508.00	$163.04
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	13	$790.00	$245.96
61800 Computer-assisted radiosurgery application of headframe	12	11	$465.00	$132.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$479.00	$164.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$515.00	$178.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$632.00	$217.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$446.00	$166.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$429.00	$170.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$180.00	$72.09
99291 Critical care, first 30-74 minutes	16	15	$552.00	$220.28
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$233.00	$87.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$403.00	$167.85
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$184.00	$76.67
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	11	$654.00	$267.45
99291 Critical care, first 30-74 minutes	11	11	$546.00	$226.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$403.00	$166.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	15	$178.00	$73.47
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$182.00	$75.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$266.00	$110.17
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$2856.85	$929.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	51	$171.00	$73.22
99291 Critical care, first 30-74 minutes	43	27	$524.00	$222.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	14	$607.00	$255.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$171.00	$72.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$322.00	$136.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$103.00	$44.23
61781 Computer-assisted procedure inside brain	13	13	$578.00	$241.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$253.00	$108.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$478.00	$202.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	56	$171.00	$72.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$385.00	$158.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	29	$170.00	$68.67
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	35	18	$635.65	$255.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$322.00	$128.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$477.00	$199.89
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$2711.45	$1055.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$252.00	$101.87

Medical Specialties & State Licenses

CMS Verified: 2021-03-24

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License WA MD60541370

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Providence Health And Services Washington

105 W 8th Ave, Spokane, WA 992042318

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Robert Martz , MD

Neurological Surgery

NPI 1003860495

Doctor of Medicine (M.D.)

Dr. Amitoz Manhas , MD

Neurological Surgery

NPI 1033382866

Doctor of Medicine (M.D.)

Shannon Duncan , RN

Nurse Practitioner

NPI 1083498919

Registered Nurse

Braidon Freeman , PA-C

Physician Assistant

NPI 1104812981

Physician Assistant (Certified)

Dr. Phoebe Ortman , DNP, ARNP, FNP-C

Nurse Practitioner

NPI 1154991107

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Kathleen Duthie , PA-C

Physician Assistant - Medical

NPI 1184959090

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 June 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2015

Registered at 105 W 8TH AVE, STE 200, SPOKANE, WA 992042302 (Tel: 5096249112)

📍

Updated Business Mailing Address June 22, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤

Provider Name / Credentials Updated June 22, 2015

Recorded as KUNAL SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Neurological Surgery (License #MD60541370 in WA)

🟢

Initial NPI Registration & Enumeration April 27, 2009

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: 1285878868

Entity Type:

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

Enumeration Date: April 27, 2009

Last Update: March 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.