Active NPI 1649388588 Individual Practitioner Female Practitioner

Mary Lou Pine , PA-C

Physician Assistant • Sunnyside, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mary Pine, PA-C is a certified Physician Assistant practicing in Sunnyside, WA. With approximately 28 years of clinical experience since completing medical education in 1998, Mary Pine delivers high-quality medical care to the local community at 700 S 11TH ST.

Mary Pine is affiliated with Pine Family Practice Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 S 11th St

Sunnyside, WA 989442243

Telephone 5098396822

Associated Practice Facility / Clinic

🏢 Mid-Valley Community Clinic, Pllc Facility NPI 1447203104

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sunnyside, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +13.3 yrs vs City Avg

City Avg: 14.7 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

18 Specialists

Practicing in Sunnyside, WA (3774 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pine (28 Years) 28 Yrs

Sunnyside Specialty Average (14.7 Years) 14.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	358	165	$163.00	$76.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	273	146	$50.00	$20.08
83036 Hemoglobin A1C level	208	109	$40.00	$9.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	60	$87.07	$47.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	38	$201.41	$108.85
81002 Urinalysis, manual test	36	20	$40.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	12	$40.00	$12.23
80305 Testing for presence of drug, read by direct observation	14	14	$100.00	$10.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	158	$163.00	$77.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	250	147	$50.00	$20.17
83036 Hemoglobin A1C level	164	99	$40.00	$9.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	53	$75.81	$48.44
99442 Telephone medical discussion with physician, 11-20 minutes	67	57	$100.00	$77.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	14	$40.00	$12.25
81002 Urinalysis, manual test	24	15	$40.00	$3.41
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$50.00	$20.43
G0008 Administration of influenza virus vaccine	15	15	$50.00	$26.69
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$75.00	$48.42
36415 Insertion of needle into vein for collection of blood sample	12	11	$20.00	$8.40
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$40.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$159.00	$111.72
80305 Testing for presence of drug, read by direct observation	12	12	$100.00	$11.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	361	160	$133.11	$75.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	237	132	$43.62	$19.65
36415 Insertion of needle into vein for collection of blood sample	170	137	$46.29	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	94	$98.78	$47.93
83036 Hemoglobin A1C level	147	101	$40.00	$9.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	12	$32.04	$12.30
99442 Telephone medical discussion with physician, 11-20 minutes	43	37	$88.35	$70.80
81002 Urinalysis, manual test	24	18	$40.00	$3.45
G0008 Administration of influenza virus vaccine	15	15	$25.00	$24.81
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$51.92	$47.87
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$50.00	$20.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	400	172	$103.00	$78.00
36415 Insertion of needle into vein for collection of blood sample	253	164	$50.00	$2.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	121	$120.00	$48.33
83036 Hemoglobin A1C level	191	114	$40.00	$9.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	132	60	$32.00	$19.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	17	$35.00	$12.18
81002 Urinalysis, manual test	24	20	$40.00	$3.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$170.00	$96.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	337	176	$123.97	$64.60
36415 Insertion of needle into vein for collection of blood sample	282	180	$50.00	$2.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	158	93	$51.80	$19.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	91	$120.00	$39.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	100	$180.00	$93.77
83036 Hemoglobin A1C level	104	84	$40.00	$9.71
85018 Blood count, hemoglobin	93	82	$40.00	$2.32
85610 Blood test, clotting time	71	11	$40.00	$4.16
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	55	51	$18.19	$17.46
G0008 Administration of influenza virus vaccine	49	46	$26.84	$16.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	12	$35.74	$12.44
81002 Urinalysis, manual test	40	25	$33.25	$3.46
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$68.00	$46.57
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$50.00	$27.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$123.50	$94.59

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	556	214	$180.00	$92.80
36415 Insertion of needle into vein for collection of blood sample	247	166	$50.00	$2.89
85018 Blood count, hemoglobin	211	124	$40.00	$2.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	77	$200.00	$125.49
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	79	79	$20.32	$17.48
G0008 Administration of influenza virus vaccine	78	78	$35.00	$16.68
99213 Established patient office or other outpatient visit, typically 15 minutes	67	54	$160.00	$63.82
81002 Urinalysis, manual test	31	23	$10.00	$3.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$210.00	$177.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$190.00	$141.60
80305 Testing for presence of drug, read by direct observation	15	14	$100.00	$12.35

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	17	16	$200.00	$92.07
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$130.00	$62.32

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004660

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

8541989 (WA)

Hospital & Practice Group Affiliations

Pine Family Practice Llc

2240 E Lincoln Ave, Sunnyside, WA 989442487

Phone: 5098362367

Practice Associates & Co-Workers

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

6 Associated Practitioners

Mary Esparza , PA

Physician Assistant

NPI 1295874949

Physician Assistant

Irma Mejia , ARNP

Nurse Practitioner

NPI 1366880734

Advanced Registered Nurse Practitioner

Irma Clark , PA-C

Physician Assistant - Medical

NPI 1588711345

Physician Assistant (Certified)

Dr. Douglas Wrung , MD

Family Medicine

NPI 1689751679

Doctor of Medicine (M.D.)

Elba Fernandez , ARNP

Nurse Practitioner

NPI 1780132704

Advanced Registered Nurse Practitioner

Mariana Guerrero-Sanchez , ARNP

Nurse Practitioner

NPI 1851013973

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 June 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 04, 2013

Registered at 700 S 11TH ST, SUNNYSIDE, WA 989442243 (Tel: 5098396822)

📍

Updated Business Mailing Address June 04, 2013

Registered at 203 SW MALIBU DRIVE, PROSSER, WA 99350

👤

Provider Name / Credentials Updated June 04, 2013

Recorded as MARY PINE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Physician Assistant (License #PA10004660 in WA)

🟢

Initial NPI Registration & Enumeration August 29, 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: 1649388588

Entity Type:

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

Enumeration Date: August 29, 2006

Last Update: September 17, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

203 Sw Malibu Drive

Prosser, WA 99350

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.