MR. ETHAN D WASHBURN PA-C
NPI 1003142936
Physician Assistant in Moses Lake, WA

Active since October 28, 2009PECOS EnrolledAccepts Medicare Assignment
1550 S PIONEER WAY, MOSES LAKE, WA 98837(509) 793-9770 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2019, Mar 17, 2018, Mar 9, 2018 and 1 more (4 updates tracked since 2016).

About Mr. Ethan D Washburn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN D WASHBURN PA-C (NPI 1003142936) is an individual physician assistant in Moses Lake, Washington, licensed in Washington (PA60120190) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003142936
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ETHAN D WASHBURNCredential: PA-C
Location Address1550 S PIONEER WAYMoses Lake, WA 98837-4613
Mailing Address660 S Coolidge StMoses Lake, WA 98837-1872 · (509) 793-9715 · Fax (509) 764-3244
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 28, 2009
Last NPPES UpdateNovember 21, 20194 updates tracked since enumeration
NPI 1003142936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60120190
Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA60120190 (WA)
1550 S PIONEER WAY, Moses Lake, WA 98837

Other Identifiers 1

Medicaid2004464WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ethan D Washburn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911040753
PECOS Enrollment IDI20100202000832
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Obstetrics & Gynecology
1550 S PIONEER WAY, SUITE 205
MOSES LAKE, WA 98837
Specialist
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Radiology (Diagnostic Radiology)
1550 S PIONEER WAY
MOSES LAKE, WA 98837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Washburn's NPI number?

The NPI number for Ethan Washburn is 1003142936. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Ethan Washburn located?

Ethan Washburn practices at 1550 S Pioneer Way, Moses Lake, WA 98837. The listed phone number is (509) 793-9770.

What is Ethan Washburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethan Washburn enrolled in Medicare?

Yes. Ethan Washburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Washburn accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ethan Washburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Washburn was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.