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Active NPI 1245632165 Individual Practitioner Male Practitioner

Michael C. Mandziara , PA

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Mandziara, PA is a certified Physician Assistant practicing in Spokane, WA. With approximately 12 years of clinical experience since graduating from Central Michigan College Of Medicine in 2014, Michael Mandziara delivers high-quality medical care to the local community at 9631 N NEVADA ST STE 300.

Michael Mandziara maintains professional affiliations with Providence Health And Services Washington, Sound Physicians Intensivists Of Washington Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, critical care, first, 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

9631 N Nevada St Ste 300

Spokane, WA 992181193

Telephone 5094653919
Fax 5092277070
Associated Practice Facility / Clinic
🏢 Daniel T. Yang Md Pllc Facility NPI 1134301989

Medicare Profile & Education

Medical School

Central Michigan College Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -0.2 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
88.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mandziara (12 Years) 12 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
99292 Critical care, each additional 30 minutes
31 13 $771.00 $88.49
99291 Critical care, first 30-74 minutes
23 22 $1534.00 $175.38

Medical Specialties & State Licenses

CMS Verified: 2024-03-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61256932

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601007182

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.

Hospital & Practice Group Affiliations

Sound Physicians Intensivists Of Washington Pllc

101 W 8th Ave, Spokane, WA 992042307

Phone: 5094743131

Sound Physicians Intensivists Of Washington Pllc

5633 N Lidgerwood St, Spokane, WA 992081224

Phone: 5094820111

Providence Health And Services Washington

5633 N Lidgerwood St, Spokane, WA 992081224

Phone: 5094820111

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Secondary Practice Locations

44201 Dequindre Rd

Troy, MI 480851117

Phone: 2489645000

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003374265
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

NPI 1013086693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 21, 2024

Registered at 9631 N NEVADA ST STE 300, SPOKANE, WA 992181193 (Tel: 5094653919)

📍
Updated Business Mailing Address March 21, 2024

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

Physician Assistant (License #PA61256932 in WA)

NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2014

Registered at 44201 DEQUINDRE RD, TROY, MI 480851117 (Tel: 2489645000)

📍
Updated Business Mailing Address September 23, 2014

Registered at 750 STEPHENSON HWY, TROY, MI 480831103 (Tel: 2485774995)

👤
Provider Name / Credentials Updated September 23, 2014

Recorded as MICHAEL MANDZIARA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Physician Assistant (License #5601007182 in MI)

🟢
Initial NPI Registration & Enumeration September 23, 2014

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: 1245632165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2014
Last Update: March 21, 2024
Sole Proprietor: No

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.