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Active NPI 1407184021 Individual Practitioner Male Practitioner

Mark D Coram , PA-C

Physician Assistant • Walla Walla, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mark Coram, PA-C is a certified Physician Assistant practicing in Walla Walla, WA. With approximately 17 years of clinical experience since completing medical education in 2009, Mark Coram delivers high-quality medical care to the local community at 401 W POPLAR ST.

Mark Coram is affiliated with Providence Health And Services - Washington 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, telephone medical discussion with physician, 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

401 W Poplar St
Psmpg Sleep Medicine

Walla Walla, WA 993622846

Telephone 5095225845
Fax 5095225527
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Walla Walla, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +6.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3774 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coram (17 Years) 17 Yrs
Walla Walla Specialty Average (10.1 Years) 10.1 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
677 635 $276.00 $76.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
428 386 $391.00 $107.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
39 39 $546.00 $152.22
99442 Telephone medical discussion with physician, 11-20 minutes
22 22 $276.00 $76.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $343.00 $94.51

Medical Specialties & State Licenses

CMS Verified: 2021-05-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60118218

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
1407184021 (WA)
Medicaid State Provider ID
500629795 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services - Washington

380 Chase Ave, Walla Walla, WA 993622924

Phone: 5098973333

Providence Health And Services - Washington

401 W Poplar St, Walla Walla, WA 993622846

Phone: 5098973320

Practice Associates & Co-Workers

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

1 Associated Practitioners
Patrick Smart , ARNP

Nurse Practitioner

NPI 1003071176

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 March 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2012

Registered at 401 W POPLAR ST, PSMPG SLEEP MEDICINE, WALLA WALLA, WA 993622846 (Tel: 5095225845)

📍
Updated Business Mailing Address March 30, 2012

Registered at PO BOX 34439, SEATTLE, WA 981241439

👤
Provider Name / Credentials Updated March 30, 2012

Recorded as MARK CORAM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2012

Physician Assistant (License #PA60118218 in WA)

🟢
Initial NPI Registration & Enumeration November 19, 2009

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: 1407184021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2009
Last Update: May 10, 2021
Sole Proprietor: No

Mailing Address

Po Box 34439

Seattle, WA 981241439

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.