Active NPI 1235183773 Individual Practitioner Female Practitioner

Gretchen E James , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gretchen James, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 25 years of clinical experience since completing medical education in 2001, Gretchen James delivers high-quality medical care to the local community at 62 W 7TH AVE STE 450.

Gretchen James is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, 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

62 W 7th Ave Ste 450

Spokane, WA 992042321

Telephone 5094558820

Fax 5098384978

Associated Practice Facility / Clinic

🏢 Spokane Cardiology Ps Facility NPI 1639116452

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 Physician Assistant in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +12.8 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate

14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. James (25 Years) 25 Yrs

Spokane Specialty Average (12.2 Years) 12.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	153	$391.00	$107.38
93000 Routine ekg using at least 12 leads including interpretation and report	123	122	$45.00	$11.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	36	$241.00	$65.32
99213 Established patient office or other outpatient visit, typically 15 minutes	54	54	$276.00	$75.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$508.00	$132.67
99238 Hospital discharge day management, 30 minutes or less	11	11	$246.00	$67.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	150	$368.00	$108.18
93000 Routine ekg using at least 12 leads including interpretation and report	133	129	$42.00	$12.27
99213 Established patient office or other outpatient visit, typically 15 minutes	71	71	$260.00	$76.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	32	$227.00	$66.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	169	$242.00	$76.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	150	$341.00	$108.96
93000 Routine ekg using at least 12 leads including interpretation and report	88	87	$38.00	$12.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	32	$187.00	$60.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	204	$233.00	$79.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	137	$331.00	$111.08
93000 Routine ekg using at least 12 leads including interpretation and report	89	89	$37.00	$12.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$180.00	$61.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$429.00	$145.16
99285 Emergency department visit for life threatening or functioning severity	19	19	$1471.00	$152.56
99284 Emergency department visit with moderate level of medical decision making	17	17	$997.00	$104.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$73.00	$7.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$285.00	$92.63
99291 Critical care, first 30-74 minutes	11	11	$1774.73	$187.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	160	$266.00	$93.16
99213 Established patient office or other outpatient visit, typically 15 minutes	136	132	$184.00	$65.13
93000 Routine ekg using at least 12 leads including interpretation and report	40	40	$42.00	$14.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	26	$177.00	$62.77
99443 Telephone medical discussion with physician, 21-30 minutes	24	24	$266.00	$93.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$358.00	$121.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$403.00	$143.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$73.00	$7.31
99285 Emergency department visit for life threatening or functioning severity	16	16	$1471.00	$148.34
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$184.00	$64.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	216	$182.00	$63.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	135	$266.00	$92.86
93000 Routine ekg using at least 12 leads including interpretation and report	100	97	$42.00	$14.71
99285 Emergency department visit for life threatening or functioning severity	78	75	$1471.00	$148.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	55	50	$73.00	$7.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$178.00	$62.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$403.00	$141.71
99291 Critical care, first 30-74 minutes	20	20	$1875.70	$191.45
99284 Emergency department visit with moderate level of medical decision making	14	14	$997.00	$101.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$357.00	$125.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	216	$171.00	$62.03
93000 Routine ekg using at least 12 leads including interpretation and report	147	146	$40.79	$14.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	108	$252.07	$90.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	49	$168.50	$59.03
99285 Emergency department visit for life threatening or functioning severity	14	14	$1471.00	$146.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$73.00	$7.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$341.00	$123.62
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	11	11	$49.27	$18.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	77	77	$25.00	$12.56
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	77	77	$37.00	$18.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	32	$120.00	$60.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$137.81	$63.36

Medical Specialties & State Licenses

CMS Verified: 2026-03-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004691

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

806921900 (ID)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

212 E Central Ave, Spokane, WA 992086597

Phone: 5094558820

Providence Health And Services Washington

825 Se Bishop Blvd, Pullman, WA 991635517

Phone: 5094558820

Providence Health And Services Washington

62 W 7th Ave, Spokane, WA 992042321

Secondary Practice Locations

122 W 7th Ave, Suite 310

Spokane, WA 992042349

Phone: 5098387711

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristin Walters , ARNP

Nurse Practitioner - Gerontology

NPI 1003222845

Advanced Registered Nurse Practitioner

Callie Adams

Nurse Practitioner - Family

NPI 1003327784

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Dr. John Peterson , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1013931997

Doctor of Medicine (M.D.), FACC

Dr. Janice Christensen , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1023032976

Doctor of Medicine (M.D.), FACC

Sandra Dickey , PA-C

Physician Assistant

NPI 1023188182

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 20, 2026

Registered at 62 W 7TH AVE STE 450, SPOKANE, WA 992042321 (Tel: 5094558820)

📍

Updated Business Mailing Address March 20, 2026

Registered at PO BOX 31001-4114, PASADENA, CA 911100001 (Tel: 8667472455)

✅

NPI Profile Active May 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2017

Registered at 122 W 7TH AVE, SUITE 310, SPOKANE, WA 992042349 (Tel: 5098387711)

📍

Updated Business Mailing Address May 16, 2017

Registered at 122 W 7TH AVE, SUITE 310, SPOKANE, WA 992042349 (Tel: 5098387711)

👤

Provider Name / Credentials Updated May 16, 2017

Recorded as GRETCHEN JAMES, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2017

Physician Assistant (License #PA10004691 in WA)

✅

NPI Profile Active January 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2016

Registered at 122 W 7TH AVE, SUITE 310, SPOKANE, WA 992042349 (Tel: 5098387711)

📍

Updated Business Mailing Address January 29, 2016

Registered at 122 W 7TH AVE, SUITE 310, SPOKANE, WA 992042349 (Tel: 5098387711)

👤

Provider Name / Credentials Updated January 29, 2016

Recorded as GRETCHEN ROSE WOLF, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2016

Physician Assistant (License #PA10004691 in WA)

🟢

Initial NPI Registration & Enumeration May 20, 2006

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: 1235183773

Entity Type:

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

Enumeration Date: May 20, 2006

Last Update: March 20, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 31001-4114

Pasadena, CA 911100001

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.