Active NPI 1285746446 Individual Practitioner Male Practitioner

Brian James Nibler , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Nibler, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 32 years of clinical experience since completing medical education in 1994, Brian Nibler delivers high-quality medical care to the local community at 800 W 5TH AVE.

Brian Nibler is affiliated with Spokane Emergency Care Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 W 5th Ave

Spokane, WA 992042803

Telephone 5094585800

Fax 5094734926

Associated Practice Facility / Clinic

🏢 Spokane Advanced Imaging Institute Llc Facility NPI 1144288226

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

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

32 Yrs +19.8 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

91.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nibler (32 Years) 32 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
99284 Emergency department visit with moderate level of medical decision making	163	155	$1272.27	$98.84
99285 Emergency department visit for life threatening or functioning severity	61	61	$1899.52	$143.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	32	$75.00	$6.69
93042 Interpretation and report of electrical activity of heart using 1-3 leads	16	16	$65.00	$5.54
99283 Emergency department visit with low level of medical decision making	14	14	$676.36	$58.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$1600.18	$142.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	159	158	$1307.00	$100.03
99285 Emergency department visit for life threatening or functioning severity	57	54	$1930.00	$143.52
99283 Emergency department visit with low level of medical decision making	48	48	$689.00	$59.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	30	29	$75.00	$6.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$1840.00	$145.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	97	95	$1320.48	$101.93
99285 Emergency department visit for life threatening or functioning severity	91	91	$1982.42	$147.08
99283 Emergency department visit with low level of medical decision making	73	70	$700.92	$60.26
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	52	52	$87.92	$6.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	151	148	$1307.00	$102.63
99283 Emergency department visit with low level of medical decision making	121	119	$689.00	$60.91
99285 Emergency department visit for life threatening or functioning severity	76	76	$1930.00	$150.68
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	55	55	$75.00	$7.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	175	162	$1294.41	$103.24
99285 Emergency department visit for life threatening or functioning severity	118	112	$1908.64	$149.32
99283 Emergency department visit with low level of medical decision making	112	103	$680.07	$56.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	69	68	$74.25	$7.41
99291 Critical care, first 30-74 minutes	38	37	$2425.53	$192.13
99224 Subsequent observation care, typically 15 minutes per day	29	22	$286.93	$34.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	224	212	$1313.53	$100.94
99285 Emergency department visit for life threatening or functioning severity	193	183	$1960.18	$148.06
99283 Emergency department visit with low level of medical decision making	140	128	$695.40	$53.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	90	88	$91.90	$7.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	14	$95.00	$21.95
99291 Critical care, first 30-74 minutes	12	12	$2469.67	$191.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	252	245	$1923.55	$145.42
99284 Emergency department visit with moderate level of medical decision making	159	142	$1321.82	$99.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	150	148	$95.15	$7.14
99283 Emergency department visit with low level of medical decision making	130	116	$695.91	$52.21
99291 Critical care, first 30-74 minutes	17	17	$2480.76	$189.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	161	161	$1663.35	$143.64
99284 Emergency department visit with moderate level of medical decision making	141	138	$1117.19	$97.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	105	105	$82.10	$7.13
99283 Emergency department visit with low level of medical decision making	98	93	$522.44	$52.01
99282 Emergency department visit with straightforward medical decision making	11	11	$203.91	$35.29

Medical Specialties & State Licenses

CMS Verified: 2022-01-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 7794

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 - Medical

NUCC Taxonomy Code: 363AM0700X

State License WA PA10003200

Definition to come...

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WA PA10003200

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8325425 (WA)

Medicaid State Provider ID

1285746446 (WA)

Medicaid State Provider ID

1285746446 (MT)

Hospital & Practice Group Affiliations

Spokane Emergency Care Physicians Pllc

12606 E Mission Ave, Spokane Valley, WA 992163421

Phone: 5094735177

Spokane Emergency Care Physicians Pllc

8202 N Division St, Spokane, WA 992085713

Phone: 5094733333

Practice Associates & Co-Workers

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

36 Associated Practitioners

Karli Meehan

Nurse Anesthetist, Certified Registered

NPI 1053871889

Diana Walters , RD, CD

Dietitian, Registered

NPI 1073623898

Registered Dietitian, CD

Dr. David Spak , MD

Radiology - Diagnostic Radiology

NPI 1124384474

Doctor of Medicine (M.D.)

Bradley White , RPH

Pharmacist

NPI 1134329279

Registered Pharmacist

Dr. Gilbert Escandon , MD

General Practice

NPI 1194760769

Doctor of Medicine (M.D.)

Brooke Wood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255969390

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Physician Assistant (License #PA10003200 in WA)

✅

NPI Profile Active June 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2010

Registered at 800 W 5TH AVE, SPOKANE, WA 992042803 (Tel: 5094585800)

📍

Updated Business Mailing Address June 14, 2010

Registered at PO BOX 34640, SEATTLE, WA 981241640 (Tel: 5094585800)

👤

Provider Name / Credentials Updated June 14, 2010

Recorded as BRIAN NIBLER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2010

Emergency Medicine (License #PA10003200 in WA)

🟢

Initial NPI Registration & Enumeration August 31, 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: 1285746446

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: January 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34640

Seattle, WA 981241640

Phone: 5094585800

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.