Active NPI 1962583534 Individual Practitioner Male Practitioner

Lance Roger Varns , ARNP, NP-C

Nurse Practitioner - Family • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lance Varns, ARNP, NP-C is a certified Nurse Practitioner - Family practicing in Spokane, WA. With approximately 25 years of clinical experience since completing medical education in 2001, Lance Varns delivers high-quality medical care to the local community at 105 W 8TH AVE STE 150E.

Lance Varns is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, 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. 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 150e

Spokane, WA 992042302

Telephone 5094653919

Fax 5092277070

Associated Practice Facility / Clinic

🏢 North Spokane Pulmonary Clinic, P.s. Facility NPI 1124136692

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

283 Specialists

Practicing in Spokane, WA (3816 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Varns (25 Years) 25 Yrs

Spokane Specialty Average (10.5 Years) 10.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	43	$241.00	$62.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	47	$362.00	$97.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$546.00	$152.91
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	28	28	$46.00	$13.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$528.00	$140.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	244	74	$227.00	$66.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	54	$341.00	$98.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	59	$515.00	$151.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$368.00	$108.06
94618 Test for exercise-induced lung stress	12	11	$97.00	$28.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	101	$187.00	$59.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	150	141	$481.00	$150.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$341.00	$105.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$269.00	$86.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	445	145	$180.00	$60.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	120	$331.00	$111.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	72	$464.00	$151.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$258.00	$87.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	456	151	$177.00	$62.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	79	$266.00	$94.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	59	$256.00	$90.56
99443 Telephone medical discussion with physician, 21-30 minutes	35	33	$266.00	$94.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$97.00	$34.19

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	944	281	$258.50	$78.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	244	108	$195.54	$59.25
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	186	115	$384.46	$116.65
99316 Nursing facility discharge management, more than 30 minutes	138	136	$300.63	$90.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	42	$147.00	$61.59
99497 Advance care planning, first 30 minutes	62	55	$287.48	$68.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$80.87	$33.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$226.15	$82.47

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	1,327	358	$247.71	$77.93
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	275	181	$366.27	$115.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	255	133	$188.76	$59.02
99316 Nursing facility discharge management, more than 30 minutes	161	152	$286.00	$90.26
99497 Advance care planning, first 30 minutes	98	89	$274.71	$67.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	64	$110.00	$60.84

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	818	225	$240.89	$76.87
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	329	183	$356.26	$113.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	68	$110.00	$59.40
99336 Established patient assisted living visit, typically 40 minutes	99	45	$274.95	$113.85
99497 Advance care planning, first 30 minutes	86	76	$269.03	$64.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	65	$183.68	$58.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	79	27	$241.24	$76.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	20	$86.00	$35.62
99316 Nursing facility discharge management, more than 30 minutes	53	50	$278.77	$88.91
99335 Established patient assisted living visit, typically 25 minutes	16	11	$210.75	$79.82
99315 Nursing facility discharge day management, 30 minutes or less	16	16	$191.88	$61.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$140.00	$87.57

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License WA AP30006103

Definition to come...

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

105 W 8th Ave, Spokane, WA 992042318

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Providence Health And Services Washington

9631 N Nevada St, Spokane, WA 992181193

Phone: 5094653919

Providence Health And Services Washington

5633 N Lidgerwood St, Spokane, WA 992081224

Phone: 5094820111

Secondary Practice Locations

823 W 7th Ave, Suite #102

Spokane, WA 992042850

Phone: 5093266474

1841 E Upriver Dr

Spokane, WA 992075164

Phone: 5098680876

Practice Associates & Co-Workers

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

40 Associated Practitioners

Michael Russell

Surgery

NPI 1003374265

Dr. Lisa Koch , PhD

Psychologist

NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

Dr. Elizabeth Jansen , MD

Family Medicine

NPI 1013086693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 07, 2019

Registered at 105 W 8TH AVE STE 150E, SPOKANE, WA 992042302 (Tel: 5094653919)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 1841 E UPRIVER DR, SPOKANE, WA 992075164 (Tel: 5098680876)

📍

Updated Business Mailing Address June 28, 2017

Registered at PO BOX 2586, SPOKANE, WA 992202586 (Tel: (509) 868-0876)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as LANCE VARNS, ARNP, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Nurse Practitioner (License #AP30006103 in WA)

✅

NPI Profile Active June 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2013

Registered at 823 W 7TH AVE, SUITE #102, SPOKANE, WA 992042850 (Tel: 5093266474)

📍

Updated Business Mailing Address June 28, 2013

Registered at 823 W 7TH AVE, SUITE #102, SPOKANE, WA 992042850 (Tel: 5093266474)

👤

Provider Name / Credentials Updated June 28, 2013

Recorded as LANCE VARNS, ARNP, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2013

Nurse Practitioner (License #AP30006103 in WA)

🟢

Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962583534

Entity Type:

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

Enumeration Date: October 18, 2006

Last Update: October 07, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2586

Spokane, WA 992202586

Phone: 5098680876

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.