Active NPI 1497708796 Individual Practitioner Male Practitioner

Tod E Fleming , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tod Fleming, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 30 years of clinical experience since completing medical education in 1996, Tod Fleming delivers high-quality medical care to the local community at 601 W 5TH AVE STE 400.

Tod Fleming is affiliated with Northwest Orthopaedic Specialists Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 W 5th Ave Ste 400

Spokane, WA 992042715

Telephone 5093442663

Fax 5096249179

Associated Practice Facility / Clinic

🏢 Northwest Orthopaedic Specialists Ps Facility NPI 1609845825

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

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

30 Yrs +17.8 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

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fleming (30 Years) 30 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
J1010 Injection, methylprednisolone acetate, 1 mg	10,720	122	$0.50	$0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,968	29	$21.00	$8.86
99213 Established patient office or other outpatient visit, typically 15 minutes	430	291	$215.35	$75.26
20610 Aspiration and/or injection of fluid from large joint	201	154	$195.90	$56.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	119	$305.23	$105.80
73630 X-ray of foot, minimum of 3 views	119	88	$82.69	$29.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$265.64	$93.62
73564 X-ray of knee, 4 or more views	80	69	$109.44	$38.79
73030 X-ray of shoulder, minimum of 2 views	79	70	$81.82	$29.21
73610 X-ray of ankle, minimum of 3 views	39	32	$88.00	$31.54
J1040 Injection, methylprednisolone acetate, 80 mg	38	35	$21.19	$9.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$440.00	$128.70
73221 Mri scan of arm joint without contrast	23	22	$730.00	$138.07
73721 Mri scan of leg joint without contrast	22	21	$750.00	$134.83
73502 X-ray of hip, 2-3 views	20	20	$111.00	$40.97
20605 Aspiration and/or injection of medium joint or joint capsule	19	15	$193.42	$47.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,104	16	$21.00	$9.31
99213 Established patient office or other outpatient visit, typically 15 minutes	346	241	$176.00	$76.36
J1040 Injection, methylprednisolone acetate, 80 mg	156	121	$24.00	$11.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	132	$250.00	$106.54
20610 Aspiration and/or injection of fluid from large joint	152	117	$186.14	$57.49
73630 X-ray of foot, minimum of 3 views	114	78	$73.75	$29.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$249.00	$93.19
73564 X-ray of knee, 4 or more views	69	53	$95.00	$40.53
73030 X-ray of shoulder, minimum of 2 views	64	57	$73.84	$30.05
73610 X-ray of ankle, minimum of 3 views	52	47	$75.94	$31.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$379.00	$134.93
73221 Mri scan of arm joint without contrast	18	17	$730.00	$150.18
20605 Aspiration and/or injection of medium joint or joint capsule	16	12	$146.50	$46.95
73502 X-ray of hip, 2-3 views	14	13	$96.93	$40.94
73721 Mri scan of leg joint without contrast	12	11	$750.00	$143.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	912	14	$21.00	$10.18
99213 Established patient office or other outpatient visit, typically 15 minutes	329	225	$175.15	$75.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	142	36	$4.00	$1.11
20610 Aspiration and/or injection of fluid from large joint	140	112	$161.14	$58.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	104	$249.95	$105.99
73630 X-ray of foot, minimum of 3 views	114	86	$69.61	$29.34
J1040 Injection, methylprednisolone acetate, 80 mg	94	75	$23.57	$10.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$249.00	$94.30
73564 X-ray of knee, 4 or more views	71	60	$92.00	$40.60
73030 X-ray of shoulder, minimum of 2 views	68	60	$70.00	$29.77
73610 X-ray of ankle, minimum of 3 views	66	56	$73.00	$30.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$379.00	$136.34
73721 Mri scan of leg joint without contrast	20	19	$750.00	$148.69
73221 Mri scan of arm joint without contrast	17	17	$730.00	$147.58
73502 X-ray of hip, 2-3 views	16	15	$96.00	$41.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$109.18	$48.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,728	23	$18.43	$10.81
99213 Established patient office or other outpatient visit, typically 15 minutes	448	295	$168.29	$77.60
J1040 Injection, methylprednisolone acetate, 80 mg	139	104	$18.22	$10.49
20610 Aspiration and/or injection of fluid from large joint	134	100	$176.63	$60.14
73630 X-ray of foot, minimum of 3 views	115	92	$73.67	$29.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$249.38	$94.20
73564 X-ray of knee, 4 or more views	62	58	$102.94	$40.12
73030 X-ray of shoulder, minimum of 2 views	61	54	$70.28	$29.90
73610 X-ray of ankle, minimum of 3 views	37	35	$77.32	$31.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$250.19	$111.33
72110 X-ray of lower and sacral spine, minimum of 4 views	17	17	$113.00	$42.65
73721 Mri scan of leg joint without contrast	17	17	$750.00	$154.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$101.88	$48.40
73070 X-ray of elbow, 2 views	14	12	$64.07	$25.38
73502 X-ray of hip, 2-3 views	12	12	$96.00	$40.73
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$103.08	$21.71
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$374.75	$15.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,777	22	$18.43	$10.76
99213 Established patient office or other outpatient visit, typically 15 minutes	362	237	$178.00	$64.53
J1040 Injection, methylprednisolone acetate, 80 mg	126	91	$20.00	$11.30
20610 Aspiration and/or injection of fluid from large joint	116	90	$325.43	$60.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$263.00	$92.94
73630 X-ray of foot, minimum of 3 views	104	84	$92.02	$28.45
73030 X-ray of shoulder, minimum of 2 views	64	57	$89.72	$27.62
73610 X-ray of ankle, minimum of 3 views	48	39	$96.06	$30.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	38	$108.00	$38.99
73564 X-ray of knee, 4 or more views	39	35	$114.59	$38.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$262.00	$86.86
20605 Aspiration and/or injection of medium joint or joint capsule	19	16	$187.00	$39.79
73721 Mri scan of leg joint without contrast	19	19	$750.00	$161.88
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$504.00	$19.10
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$93.00	$22.74
73221 Mri scan of arm joint without contrast	12	12	$730.00	$151.93
73070 X-ray of elbow, 2 views	11	11	$78.00	$24.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,160	20	$18.43	$11.32
99213 Established patient office or other outpatient visit, typically 15 minutes	354	239	$178.00	$62.80
J1040 Injection, methylprednisolone acetate, 80 mg	152	108	$20.00	$12.00
73630 X-ray of foot, minimum of 3 views	141	108	$87.00	$26.03
20610 Aspiration and/or injection of fluid from large joint	128	93	$318.36	$58.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	79	$108.00	$38.28
73610 X-ray of ankle, minimum of 3 views	89	67	$87.00	$28.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$263.00	$90.85
73030 X-ray of shoulder, minimum of 2 views	58	51	$87.00	$25.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$262.00	$89.96
73564 X-ray of knee, 4 or more views	44	35	$109.00	$35.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$400.00	$140.03
20605 Aspiration and/or injection of medium joint or joint capsule	22	21	$187.00	$39.57
73721 Mri scan of leg joint without contrast	16	16	$750.00	$151.83
20600 Aspiration and/or injection of fluid from small joint	15	14	$173.67	$38.91
73221 Mri scan of arm joint without contrast	14	14	$730.00	$154.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,064	24	$18.43	$11.73
99213 Established patient office or other outpatient visit, typically 15 minutes	327	200	$157.11	$61.84
73630 X-ray of foot, minimum of 3 views	140	103	$87.00	$24.46
20610 Aspiration and/or injection of fluid from large joint	113	81	$303.10	$56.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	113	$234.02	$89.81
J1040 Injection, methylprednisolone acetate, 80 mg	112	82	$20.00	$12.34
73610 X-ray of ankle, minimum of 3 views	85	66	$87.00	$26.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$359.29	$139.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	61	$97.81	$37.27
73030 X-ray of shoulder, minimum of 2 views	50	43	$87.00	$25.17
73564 X-ray of knee, 4 or more views	45	35	$109.00	$34.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$291.09	$92.09
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$93.83	$24.32
20600 Aspiration and/or injection of fluid from small joint	12	11	$187.42	$43.03
73721 Mri scan of leg joint without contrast	11	11	$750.00	$163.81
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$504.00	$32.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,680	21	$18.40	$12.32
99213 Established patient office or other outpatient visit, typically 15 minutes	341	209	$145.00	$59.99
20610 Aspiration and/or injection of fluid from large joint	148	102	$293.92	$53.31
J1040 Injection, methylprednisolone acetate, 80 mg	126	91	$20.00	$10.73
73630 X-ray of foot, minimum of 3 views	116	80	$87.00	$24.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	103	$211.00	$88.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$325.00	$132.51
73030 X-ray of shoulder, minimum of 2 views	70	60	$87.00	$23.63
73610 X-ray of ankle, minimum of 3 views	60	47	$87.00	$26.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	47	$85.00	$35.89
73564 X-ray of knee, 4 or more views	40	33	$109.00	$33.13
J1030 Injection, methylprednisolone acetate, 40 mg	38	34	$12.00	$5.64
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$187.00	$38.28
73070 X-ray of elbow, 2 views	16	11	$78.00	$22.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$288.86	$89.03
73221 Mri scan of arm joint without contrast	13	13	$730.00	$159.90
73502 X-ray of hip, 2-3 views	13	13	$130.00	$34.59
20550 Injection into tendon or ligament	12	11	$198.25	$45.44

Medical Specialties & State Licenses

CMS Verified: 2024-11-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003430

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

805849600 (ID)

Medicaid State Provider ID

8424822 (WA)

Commercial Insurance / Payer ID Dept Of Labor & Industrie

202076 (WA)

Commercial Insurance / Payer ID Asuris Nw Health

2828FL

Commercial Insurance / Payer ID Medicare Id

G8860586

Hospital & Practice Group Affiliations

Northwest Orthopaedic Specialists Ps

2710 E 57th Ave, Spokane, WA 992236678

Phone: 5092522354

Northwest Orthopaedic Specialists Ps

12410 E Sinto Ave, Spokane Valley, WA 992162258

Phone: 5097892955

Northwest Orthopaedic Specialists Ps

212 E Central Ave, Spokane, WA 992086289

Phone: 5094651300

Northwest Orthopaedic Specialists Ps

9310 N Division St, Spokane, WA 992181227

Phone: 5097892836

Northwest Orthopaedic Specialists Ps

12410 E Sinto Ave, Spokane Valley, WA 992162280

Phone: 5099284334

Northwest Orthopaedic Specialists Ps

601 W 5th Ave, Spokane, WA 992042715

Phone: 5093442663

Secondary Practice Locations

601 W 5th Ave Ste 500

Spokane, WA 992042756

Phone: 5093448672

Practice Associates & Co-Workers

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

40 Associated Practitioners

Leann Bach , PA-C

Physician Assistant

NPI 1063414878

Physician Assistant (Certified)

Todd Bauernfeind , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063480374

Certified Registered Nurse Anesthetist

Jennifer Knigge , ARNP

Nurse Practitioner

NPI 1073099123

Advanced Registered Nurse Practitioner

Dr. Robert Stewart , MD

Orthopaedic Surgery

NPI 1073876025

Doctor of Medicine (M.D.)

Dr. Patrick Lynch , MD

Orthopaedic Surgery

NPI 1083682694

Doctor of Medicine (M.D.)

Dr. Gary Kaneshige , MD

Anesthesiology

NPI 1093726911

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 15, 2024

Registered at 601 W 5TH AVE STE 400, SPOKANE, WA 992042715 (Tel: 5093442663)

📍

Updated Business Mailing Address November 15, 2024

Registered at 601 W 5TH AVE STE 400, SPOKANE, WA 992042715 (Tel: 5093442663)

✅

NPI Profile Active March 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2008

Registered at 601 W 5TH AVE, SPOKANE, WA 992042715 (Tel: 5093442663)

📍

Updated Business Mailing Address March 11, 2008

Registered at 601 W 5TH AVE, SPOKANE, WA 992042715 (Tel: 5093442663)

👤

Provider Name / Credentials Updated March 11, 2008

Recorded as TOD FLEMING, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2008

Physician Assistant (License #PA10003430 in WA)

🟢

Initial NPI Registration & Enumeration May 18, 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: 1497708796

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: November 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 W 5th Ave Ste 400

Spokane, WA 992042715

Phone: 5093442663

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.