Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780613018 Individual Practitioner Female Practitioner

Catherine C Black , PA-C

Physician Assistant • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Catherine Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Spokane, WA. Practice services are available at 212 E CENTRAL AVE STE 240 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, new 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

212 E Central Ave Ste 240

Spokane, WA 992086597

Telephone 5094558820
Associated Practice Facility / Clinic
🏢 Spokane Cardiology Ps Facility NPI 1639116452

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
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
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
290 222 $391.00 $109.26
93000 Routine ekg using at least 12 leads including interpretation and report
242 222 $45.00 $12.13
99213 Established patient office or other outpatient visit, typically 15 minutes
229 194 $276.00 $77.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $508.00 $141.66

Medical Specialties & State Licenses

CMS Verified: 2024-10-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004690

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 OR PA159129

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 AZ 7072

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 PA10004690

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA10004690

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8415937 (WA)
Medicaid State Provider ID
500648665 (OR)
Commercial Insurance / Payer ID L&i
0194214 (WA)

Secondary Practice Locations

808 Port Dr

Clarkston, WA 994036009

Phone: 5094558820

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

17 Historical Events
📍
Updated Practice Location October 21, 2024

Registered at 212 E CENTRAL AVE STE 240, SPOKANE, WA 992086597 (Tel: 5094558820)

📍
Updated Practice Location August 01, 2023

Registered at 808 PORT DR, CLARKSTON, WA 994036009 (Tel: 5094558820)

📍
Updated Business Mailing Address August 01, 2023

Registered at PO BOX 331, LIBERTY LAKE, WA 990190331 (Tel: 8667472455)

📍
Updated Practice Location October 08, 2018

Registered at 1501 N CAMPBELL AVENUE, TUCSON, AZ 85724 (Tel: 5412802493)

📍
Updated Business Mailing Address October 08, 2018

Registered at 1501 N CAMPBELL AVENUE, TUCSON, AZ 85724 (Tel: 5412802493)

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 1080 MOUNT BACHELOR DR, BEND, OR 977023280 (Tel: 5413138111)

📍
Updated Business Mailing Address November 16, 2017

Registered at 1080 MOUNT BACHELOR DR, BEND, OR 977023280 (Tel: 5413138111)

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as CATHERINE BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Physician Assistant (License #PA10004690 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Physician Assistant (License #PA159129 in OR)

NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

📍
Updated Business Mailing Address April 11, 2013

Registered at 1501 NE MEDICAL CENTER DR, BEND, OR 977016051 (Tel: 5413822811)

👤
Provider Name / Credentials Updated April 11, 2013

Recorded as CATHERINE BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Physician Assistant (License #PA159129 in OR)

🟢
Initial NPI Registration & Enumeration June 30, 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: 1780613018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: October 21, 2024
Sole Proprietor: No

Mailing Address

Po Box 331

Liberty Lake, WA 990190331

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.