Active NPI 1104874569 Individual Practitioner Male Practitioner

Dr. Ryan D. Nachreiner , MD

Surgery - Vascular Surgery • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Nachreiner, MD is a certified Surgery - Vascular Surgery practicing in Spokane, WA. With approximately 29 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1997, Dr. Nachreiner delivers high-quality medical care to the local community at 122 W 7TH AVE.

Dr. Nachreiner is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include complete ultrasound study of arm and leg arteries, established patient outpatient office visit, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 W 7th Ave
Suite 420

Spokane, WA 992042349

Telephone 5096269440

Fax 5096269475

Associated Practice Facility / Clinic

🏢 Heart Clinics Northwest Ps Facility NPI 1689614083

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Spokane, WA (135 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nachreiner (29 Years) 29 Yrs

Spokane Specialty Average (23.6 Years) 23.6 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
93923 Complete ultrasound study of arm and leg arteries	124	99	$395.00	$109.06
99213 Established patient office or other outpatient visit, typically 15 minutes	113	91	$276.00	$90.07
93880 Ultrasound of both sides of head and neck blood flow	91	84	$590.00	$188.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$508.00	$166.14
93925 Ultrasound of leg arteries or artery grafts	52	36	$740.00	$236.65
93926 Ultrasound of one leg arteries or artery grafts	51	45	$440.00	$127.16
93990 Ultrasound of dialysis access	36	17	$452.00	$130.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$391.00	$122.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	32	32	$581.00	$189.53
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	30	29	$357.90	$114.83
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	29	21	$821.00	$267.01
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	25	$557.00	$172.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	115	89	$366.61	$104.69
99213 Established patient office or other outpatient visit, typically 15 minutes	110	86	$260.00	$88.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$479.00	$162.12
93880 Ultrasound of both sides of head and neck blood flow	71	62	$556.00	$186.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	48	$368.00	$127.16
93925 Ultrasound of leg arteries or artery grafts	57	43	$698.00	$236.07
93926 Ultrasound of one leg arteries or artery grafts	42	36	$398.33	$118.21
93990 Ultrasound of dialysis access	41	21	$426.00	$130.79
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	30	29	$525.00	$177.53
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	28	$347.00	$120.30
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$548.00	$192.37
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	22	16	$774.00	$271.41
93924 Ultrasound study of arteries of both legs at rest and exercise	12	12	$458.00	$152.05
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	11	11	$1579.55	$433.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	115	97	$349.00	$111.49
99213 Established patient office or other outpatient visit, typically 15 minutes	113	88	$242.00	$91.98
93880 Ultrasound of both sides of head and neck blood flow	90	86	$524.00	$194.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$446.00	$168.65
93925 Ultrasound of leg arteries or artery grafts	55	43	$663.00	$245.53
93990 Ultrasound of dialysis access	47	26	$404.00	$136.74
93926 Ultrasound of one leg arteries or artery grafts	34	27	$392.00	$131.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	33	32	$515.00	$197.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$341.00	$129.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	27	$327.00	$125.17
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	24	$496.00	$173.91
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	23	18	$728.00	$271.50
35301 Removal of blood clot and portion of artery of neck	13	13	$3017.00	$1106.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	142	114	$345.95	$113.15
99213 Established patient office or other outpatient visit, typically 15 minutes	97	81	$233.00	$93.29
93880 Ultrasound of both sides of head and neck blood flow	80	77	$519.67	$201.34
93990 Ultrasound of dialysis access	78	37	$395.64	$133.44
93925 Ultrasound of leg arteries or artery grafts	68	51	$667.00	$264.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$429.00	$169.12
93926 Ultrasound of one leg arteries or artery grafts	52	43	$391.00	$129.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	39	$331.00	$132.39
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	31	29	$321.00	$128.59
93970 Ultrasound study of arm or leg veins with compression and maneuvers	30	30	$512.00	$204.45
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	30	26	$495.00	$186.91
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	18	$32.00	$11.45
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	20	16	$726.00	$289.58
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	19	11	$608.00	$227.93
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	14	13	$1205.04	$323.07
35371 Removal of blood clot and portion of artery of upper thigh artery	13	13	$1714.47	$523.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	130	104	$325.00	$111.52
93880 Ultrasound of both sides of head and neck blood flow	99	95	$491.00	$203.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	59	$266.00	$109.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$403.00	$167.81
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$184.00	$76.76
93925 Ultrasound of leg arteries or artery grafts	63	51	$624.00	$256.27
93926 Ultrasound of one leg arteries or artery grafts	61	48	$369.00	$130.06
93990 Ultrasound of dialysis access	59	38	$376.58	$137.59
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	44	41	$463.00	$186.56
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	39	38	$299.00	$126.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	35	35	$479.00	$196.82
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	21	16	$681.00	$287.50
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	15	$30.00	$12.26
93924 Ultrasound study of arteries of both legs at rest and exercise	15	15	$402.00	$150.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$497.00	$206.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	148	143	$494.22	$202.77
93923 Complete ultrasound study of arm and leg arteries	143	114	$327.08	$112.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$401.56	$164.81
99213 Established patient office or other outpatient visit, typically 15 minutes	91	86	$181.65	$75.35
93925 Ultrasound of leg arteries or artery grafts	85	68	$624.01	$256.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	69	$265.70	$109.22
93926 Ultrasound of one leg arteries or artery grafts	79	66	$366.59	$132.63
93990 Ultrasound of dialysis access	73	55	$383.27	$137.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	58	54	$455.97	$185.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	52	$478.31	$197.47
93924 Ultrasound study of arteries of both legs at rest and exercise	46	44	$404.43	$151.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	34	33	$297.38	$123.06
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	22	19	$683.09	$285.33
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	14	$211.44	$86.24
35301 Removal of blood clot and portion of artery of neck	14	13	$2689.03	$1094.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$493.43	$205.83
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$30.00	$12.72
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	13	13	$1349.38	$435.20
93922 Ultrasound study of arm and leg arteries	11	11	$208.82	$76.63
93923 Complete ultrasound study of arm and leg arteries	11	11	$54.00	$23.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	154	112	$322.23	$113.73
93880 Ultrasound of both sides of head and neck blood flow	147	138	$481.53	$201.77
99213 Established patient office or other outpatient visit, typically 15 minutes	138	115	$171.00	$72.43
93926 Ultrasound of one leg arteries or artery grafts	106	75	$356.83	$131.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	70	$252.76	$108.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$386.57	$163.24
93925 Ultrasound of leg arteries or artery grafts	64	54	$620.00	$264.65
93990 Ultrasound of dialysis access	55	33	$378.45	$138.75
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	52	47	$454.62	$187.64
93924 Ultrasound study of arteries of both legs at rest and exercise	46	39	$403.00	$156.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	45	45	$457.16	$188.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	36	34	$286.00	$121.65
76937 Ultrasonic guidance for blood vessel access	32	29	$33.88	$14.54
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	20	18	$203.20	$82.45
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	20	18	$29.85	$12.79
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	17	16	$1294.26	$422.46
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	12	$670.38	$288.53
35371 Removal of blood clot and portion of artery of upper thigh artery	12	11	$2055.08	$844.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$322.00	$137.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	157	$170.97	$72.14
93880 Ultrasound of both sides of head and neck blood flow	154	137	$466.21	$194.20
93923 Complete ultrasound study of arm and leg arteries	123	106	$312.55	$109.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$384.50	$160.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	72	$252.00	$105.51
93925 Ultrasound of leg arteries or artery grafts	77	65	$594.16	$254.48
93990 Ultrasound of dialysis access	70	38	$365.54	$132.95
93926 Ultrasound of one leg arteries or artery grafts	69	58	$344.91	$126.34
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	57	55	$449.00	$183.76
93924 Ultrasound study of arteries of both legs at rest and exercise	47	41	$394.15	$148.21
93970 Ultrasound study of arm or leg veins with compression and maneuvers	46	46	$438.70	$187.79
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	37	$282.45	$120.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$322.00	$134.85
76937 Ultrasonic guidance for blood vessel access	17	17	$34.00	$14.30
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	16	$29.05	$12.21
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	11	$518.99	$216.70
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	11	$626.36	$266.21
35301 Removal of blood clot and portion of artery of neck	13	13	$2761.00	$1121.56
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	12	11	$1362.38	$394.91
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1618.00	$659.25
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	11	11	$2827.09	$1207.03

Medical Specialties & State Licenses

CMS Verified: 2021-06-23

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WA MD00048859

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License IN 1050911A

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200250360A (IN)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Providence Health And Services Washington

1919 S Grand Blvd, Spokane, WA 992032347

Phone: 5097473081

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

62 W 7th Ave, Spokane, WA 992042321

Phone: 5096269440

Providence Health And Services Washington

16528 E Desmet Ct, Spokane, WA 992163522

Providence Health And Services Washington

1923 S Grand Blvd, Spokane, WA 992032347

Phone: 5096269484

Secondary Practice Locations

62 W 7th Ave Ste 420

Spokane, WA 992042321

Phone: 5096269440

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Luke Zhan , MD, PhD

Surgery - Vascular Surgery

NPI 1043524481

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Michele Richard , MD

Surgery - Vascular Surgery

NPI 1083055487

Doctor of Medicine (M.D.)

Ryan Forsyth , PA-C

Physician Assistant

NPI 1144538158

Physician Assistant (Certified)

Marcel Perez Reveron

Physician Assistant

NPI 1174370332

Dr. Megan Hoefer , MD

Internal Medicine

NPI 1306941109

Doctor of Medicine (M.D.)

Sandra Tidwell , ARNP

Nurse Practitioner - Adult Health

NPI 1366404337

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2015

Registered at 122 W 7TH AVE, SUITE 420, SPOKANE, WA 992042349 (Tel: 5096269440)

📍

Updated Business Mailing Address October 21, 2015

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

👤

Provider Name / Credentials Updated October 21, 2015

Recorded as RYAN NACHREINER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Surgery (License #MD00048859 in WA)

🟢

Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104874569

Entity Type:

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

Enumeration Date: May 05, 2006

Last Update: June 23, 2021

Sole Proprietor: No

Update or Correct Profile

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.