MS. MICHALINA KUPSIK M.D.
NPI 1043657422
Surgery - Surgical Oncology in Spokane, WA

Active since May 27, 2013PECOS EnrolledAccepts Medicare Assignment
601 S SHERMAN ST, SPOKANE, WA 99202(509) 228-1000(509) 252-9300 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2023, Mar 4, 2021 (2 updates tracked since 2021).

About Ms. Michalina Kupsik M.d. NPPES

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

MS. MICHALINA KUPSIK M.D. (NPI 1043657422) is an individual surgical oncology provider in Spokane, Washington, licensed in Washington (MD61494369) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043657422
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameMS. MICHALINA KUPSIKCredential: M.D.
Location Address601 S SHERMAN STSpokane, WA 99202-1311
Mailing Address1204 N Vercler RdSpokane Valley, WA 99216-1020 · (509) 228-1000
Fax(509) 252-9300
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2013
Enumeration DateMay 27, 2013
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1043657422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in WA · MD61494369 Licensed in ID · 6771249
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License MD61494369 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License KUPSIM153QE (WA)
601 S SHERMAN ST, Spokane, WA 99202

Secondary Practice Locations 2

Location 13024 New Bern AveRaleigh, NC 27610-1247 · Phone (919) 350-7251
Location 21440 E Mullan AvePost Falls, ID 83854-9064 · Phone (208) 625-4900 · Fax (208) 625-4911

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

Ms. Michalina Kupsik M.d. 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 ID7113223371
PECOS Enrollment IDI20240108004025, I20250522000258
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
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.

Registered Nurse (Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202
Internal Medicine (Hematology & Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202
Dietitian, Registered
601 S SHERMAN ST
SPOKANE, WA 99202
Surgery (Surgical Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202
Non-Pharmacy Dispensing Site
601 S SHERMAN ST
SPOKANE, WA 99202
Internal Medicine (Hematology & Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202
Internal Medicine (Medical Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202
Internal Medicine (Hematology & Oncology)
601 S SHERMAN ST
SPOKANE, WA 99202

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 Michalina Kupsik's NPI number?

The NPI number for Michalina Kupsik is 1043657422. It was assigned to this individual provider in the NPPES registry on May 27, 2013.

Where is Michalina Kupsik located?

Michalina Kupsik practices at 601 S Sherman St, Spokane, WA 99202. The listed phone number is (509) 228-1000.

What is Michalina Kupsik's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michalina Kupsik enrolled in Medicare?

Yes. Michalina Kupsik 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 Michalina Kupsik accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michalina Kupsik 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.

Is Michalina Kupsik affiliated with any hospitals?

According to CMS data, Michalina Kupsik is affiliated with Kootenai Health and Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Michalina Kupsik was last updated on July 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.