Active NPI 1861500431 Individual Practitioner Male Practitioner

Dr. David J Mikkelsen , MD

Urology • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Mikkelsen, MD is a registered healthcare professional specializing in Urology in Spokane, WA. Practice services are available at 1401 E TRENT AVE STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, leuprolide acetate (for depot suspension), 7.5 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Telephone 5097473147

Fax 5097470020

Associated Practice Facility / Clinic

🏢 Spokane Urology Pllc Facility NPI 1912015439

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Spokane, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Spokane, WA (351 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	398	323	$167.00	$90.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	390	328	$45.00	$16.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	172	21	$386.41	$179.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$243.00	$110.31
52000 Diagnostic exam of bladder and urethra using an endoscope	90	69	$513.00	$240.78
81002 Urinalysis, manual test	76	73	$33.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	66	60	$21.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$242.00	$127.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$348.00	$160.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	29	$101.00	$35.63
G0103 Prostate cancer screening; prostate specific antigen test (psa)	38	38	$75.00	$18.92
76872 Ultrasound scan of pelvic region through rectum	34	33	$160.00	$31.74
52000 Diagnostic exam of bladder and urethra using an endoscope	32	30	$300.00	$77.94
51798 Ultrasound measurement of bladder capacity after voiding	30	28	$50.00	$11.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	29	13	$63.43	$62.42
55700 Biopsy of prostate gland	26	25	$350.00	$126.35
84154 Psa (prostate specific antigen) measurement, free	17	16	$45.00	$18.02
76872 Ultrasound scan of pelvic region through rectum	13	13	$243.82	$139.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$88.00	$13.45
50590 Shock wave crushing of kidney stones	13	13	$1226.92	$628.21
55700 Biopsy of prostate gland	12	12	$618.00	$239.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$492.12	$319.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	383	$167.16	$91.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	264	29	$380.00	$171.23
81002 Urinalysis, manual test	201	164	$33.00	$3.35
52000 Diagnostic exam of bladder and urethra using an endoscope	149	115	$513.00	$242.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$243.00	$111.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	65	$242.00	$129.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$348.00	$166.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	60	29	$101.00	$34.90
51798 Ultrasound measurement of bladder capacity after voiding	58	55	$50.00	$10.89
G0103 Prostate cancer screening; prostate specific antigen test (psa)	48	48	$75.00	$18.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	44	$88.00	$14.42
76872 Ultrasound scan of pelvic region through rectum	44	42	$243.82	$139.81
55700 Biopsy of prostate gland	41	39	$618.00	$246.88
J1580 Injection, garamycin, gentamicin, up to 80 mg	34	31	$5.16	$2.70
36415 Insertion of needle into vein for collection of blood sample	32	30	$21.00	$8.40
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	29	$492.12	$327.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	21	$432.00	$118.02
99441 Telephone medical discussion with physician, 5-10 minutes	24	23	$76.00	$56.95
50590 Shock wave crushing of kidney stones	20	20	$1127.50	$584.83
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	13	$575.00	$283.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$915.38	$438.99
84154 Psa (prostate specific antigen) measurement, free	11	11	$45.00	$18.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,760	13	$6.60	$3.98
99213 Established patient office or other outpatient visit, typically 15 minutes	546	426	$167.00	$90.90
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	246	28	$380.00	$178.53
81002 Urinalysis, manual test	211	186	$33.00	$3.39
52000 Diagnostic exam of bladder and urethra using an endoscope	151	110	$513.00	$252.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$243.00	$111.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	71	$242.00	$127.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$348.00	$167.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	58	33	$101.00	$34.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	52	$88.00	$14.34
55700 Biopsy of prostate gland	42	42	$618.00	$250.50
76872 Ultrasound scan of pelvic region through rectum	42	42	$243.82	$140.69
51798 Ultrasound measurement of bladder capacity after voiding	40	40	$50.00	$10.53
99441 Telephone medical discussion with physician, 5-10 minutes	32	30	$76.00	$56.86
99442 Telephone medical discussion with physician, 11-20 minutes	27	27	$126.00	$91.70
J3260 Injection, tobramycin sulfate, up to 80 mg	24	24	$8.15	$2.32
J1580 Injection, garamycin, gentamicin, up to 80 mg	24	23	$5.23	$1.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	19	$492.12	$333.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$421.05	$123.51
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	18	18	$3500.00	$1441.62
36415 Insertion of needle into vein for collection of blood sample	17	15	$21.00	$2.80
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$575.00	$285.41
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1500.00	$332.55
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$75.00	$19.10
50590 Shock wave crushing of kidney stones	11	11	$1150.00	$599.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	669	487	$167.00	$92.52
81002 Urinalysis, manual test	594	474	$33.00	$3.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	282	34	$380.00	$185.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	173	173	$243.00	$112.82
52000 Diagnostic exam of bladder and urethra using an endoscope	140	102	$513.00	$243.21
51798 Ultrasound measurement of bladder capacity after voiding	89	77	$50.00	$10.62
36415 Insertion of needle into vein for collection of blood sample	72	62	$21.00	$3.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	62	39	$101.00	$33.14
J1580 Injection, garamycin, gentamicin, up to 80 mg	59	55	$4.61	$1.83
76872 Ultrasound scan of pelvic region through rectum	58	55	$241.63	$120.18
55700 Biopsy of prostate gland	58	55	$618.00	$258.61
G0103 Prostate cancer screening; prostate specific antigen test (psa)	57	57	$75.00	$19.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$242.00	$132.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	42	$88.00	$14.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	26	$433.33	$127.48
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$492.12	$323.96
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	26	26	$3500.00	$1456.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$131.00	$57.29
51702 Simple insertion of temporary bladder tube	21	15	$255.00	$66.14
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	21	21	$1500.00	$336.04
84153 Psa (prostate specific antigen) measurement, total	20	15	$75.00	$18.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$903.13	$443.75
50590 Shock wave crushing of kidney stones	15	15	$1136.67	$598.17
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	12	$575.00	$275.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$348.00	$170.48
76872 Ultrasound scan of pelvic region through rectum	11	11	$160.00	$33.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	788	556	$165.70	$75.40
81002 Urinalysis, manual test	736	568	$33.00	$3.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	420	51	$380.00	$212.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$241.52	$107.65
52000 Diagnostic exam of bladder and urethra using an endoscope	139	110	$506.95	$216.26
51798 Ultrasound measurement of bladder capacity after voiding	131	116	$49.00	$10.36
G0103 Prostate cancer screening; prostate specific antigen test (psa)	107	107	$75.00	$18.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	84	53	$95.89	$31.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	49	$76.10	$14.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$242.84	$109.01
J1580 Injection, garamycin, gentamicin, up to 80 mg	54	46	$3.00	$1.87
36415 Insertion of needle into vein for collection of blood sample	53	48	$21.00	$2.87
55700 Biopsy of prostate gland	47	47	$559.24	$252.06
76872 Ultrasound scan of pelvic region through rectum	46	46	$219.40	$147.67
84153 Psa (prostate specific antigen) measurement, total	40	36	$75.00	$17.83
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$187.00	$77.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	22	$475.60	$144.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	28	28	$482.78	$297.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$131.00	$46.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$348.00	$159.89
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	20	20	$4084.60	$1440.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$882.89	$428.41
84154 Psa (prostate specific antigen) measurement, free	15	15	$33.00	$18.19
51702 Simple insertion of temporary bladder tube	15	12	$255.00	$62.69
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$1910.93	$341.21
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$629.13	$286.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$363.36	$146.74
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1886.00	$749.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,360	12	$6.00	$3.79
81002 Urinalysis, manual test	871	586	$33.00	$3.37
99213 Established patient office or other outpatient visit, typically 15 minutes	741	511	$167.00	$74.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	444	58	$406.15	$224.89
36415 Insertion of needle into vein for collection of blood sample	252	191	$21.00	$2.92
84153 Psa (prostate specific antigen) measurement, total	208	162	$75.00	$19.93
51798 Ultrasound measurement of bladder capacity after voiding	187	146	$50.00	$13.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$243.00	$107.00
52000 Diagnostic exam of bladder and urethra using an endoscope	140	96	$513.00	$194.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	103	64	$101.00	$31.50
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	59	$4.56	$1.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	63	$242.00	$106.61
55700 Biopsy of prostate gland	66	64	$618.00	$243.29
76872 Ultrasound scan of pelvic region through rectum	62	58	$456.00	$127.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	31	$902.25	$161.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	22	$130.00	$39.81
51702 Simple insertion of temporary bladder tube	26	21	$255.00	$62.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$348.00	$155.59
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	23	23	$6423.00	$1449.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$658.00	$276.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	20	20	$75.00	$20.03
50590 Shock wave crushing of kidney stones	20	19	$1919.40	$614.22
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$295.00	$102.44
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	17	17	$4582.00	$328.50
76775 Limited ultrasound scan behind abdominal cavity	16	16	$329.00	$56.37
55876 Placement of device in prostate for radiation therapy	16	16	$445.00	$91.12
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	14	14	$1857.00	$460.15
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$856.00	$277.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$675.00	$50.32
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2316.00	$751.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	4,400	14	$6.00	$3.61
81002 Urinalysis, manual test	835	587	$21.35	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	785	563	$155.45	$72.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	475	60	$425.00	$209.91
51798 Ultrasound measurement of bladder capacity after voiding	294	224	$45.24	$16.10
36415 Insertion of needle into vein for collection of blood sample	279	227	$20.61	$2.93
84153 Psa (prostate specific antigen) measurement, total	260	221	$63.85	$22.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$215.12	$107.30
52000 Diagnostic exam of bladder and urethra using an endoscope	147	103	$458.71	$168.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	118	66	$98.54	$30.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	70	$224.62	$105.91
76872 Ultrasound scan of pelvic region through rectum	72	64	$357.00	$98.10
55700 Biopsy of prostate gland	70	68	$549.51	$251.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$334.63	$165.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	26	$124.86	$39.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	32	$653.45	$246.38
76775 Limited ultrasound scan behind abdominal cavity	25	23	$329.00	$58.72
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	20	$778.76	$128.00
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	11	$6.00	$1.38
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	22	22	$5793.91	$1478.27
J3260 Injection, tobramycin sulfate, up to 80 mg	22	11	$5.00	$2.96
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$271.36	$101.30
51702 Simple insertion of temporary bladder tube	21	14	$202.33	$65.19
50590 Shock wave crushing of kidney stones	17	17	$1866.94	$554.33
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	17	17	$850.24	$286.98
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$4168.00	$339.26
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	14	14	$1617.64	$395.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$121.77	$44.12
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	11	$784.00	$252.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,025	646	$10.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	858	563	$142.07	$69.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	492	52	$425.00	$209.33
51798 Ultrasound measurement of bladder capacity after voiding	350	242	$40.00	$18.58
36415 Insertion of needle into vein for collection of blood sample	245	201	$20.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$199.67	$102.45
52000 Diagnostic exam of bladder and urethra using an endoscope	166	128	$408.00	$158.59
84153 Psa (prostate specific antigen) measurement, total	104	93	$46.00	$24.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	87	53	$96.00	$31.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$206.00	$101.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$325.00	$154.31
76872 Ultrasound scan of pelvic region through rectum	46	44	$250.00	$91.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	44	42	$386.00	$58.26
55700 Biopsy of prostate gland	44	44	$477.00	$236.21
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	26	26	$5039.00	$1315.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$648.00	$235.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	21	$940.95	$117.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	18	$121.00	$37.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	16	16	$3340.00	$306.79
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	11	$842.00	$279.28
52281 Dilation of bladder canal (urethra) using an endoscope	14	12	$682.00	$263.77
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	14	13	$777.00	$238.19
74420 Imaging of urinary tract	13	11	$40.00	$16.98
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1654.00	$817.41
50590 Shock wave crushing of kidney stones	12	12	$2100.00	$594.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$330.00	$138.17

Medical Specialties & State Licenses

CMS Verified: 2020-09-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD 00027440

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1058536 (WA)

Commercial Insurance / Payer ID Rrb

340005435 (WA)

Commercial Insurance / Payer ID L&i

52287 (WA)

Practice Associates & Co-Workers

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

21 Associated Practitioners

Susan Cain , ARNP

Nurse Practitioner

NPI 1033227863

Advanced Registered Nurse Practitioner

Anna Schweiger

Physician Assistant

NPI 1033992672

Dr. Carl Walker , MD

Urology

NPI 1053301440

Doctor of Medicine (M.D.)

Dr. Evan Carlos , MD

Urology

NPI 1063807477

Doctor of Medicine (M.D.)

Dr. Duncan Sloan , MD

Urology

NPI 1124482385

Doctor of Medicine (M.D.)

Dr. Thomas Fairchild , MD

Urology

NPI 1154439735

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 February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

📍

Updated Business Mailing Address February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

✅

NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2015

Registered at 820S MCCLELLAN ST 118, SPOKANE, WA 992042446 (Tel: 5097473147)

📍

Updated Business Mailing Address August 04, 2015

Registered at 820S MCCLELLAN ST 118, SPOKANE, WA 992042446 (Tel: 5097473147)

👤

Provider Name / Credentials Updated August 04, 2015

Recorded as DAVID MIKKELSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Urology (License #MD 00027440 in WA)

🟢

Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861500431

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Phone: 5097473147

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.