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THOMAS KEVIN WESTHUSING D.O.
NPI 1164539425
Family Medicine in Pasco, WA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
1200 N 14TH AVE, SUITE 400, PASCO, WA 99301(509) 545-6220(509) 547-0894 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Kevin Westhusing D.o. NPPES

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

THOMAS KEVIN WESTHUSING D.O. (NPI 1164539425) is an individual family medicine provider in Pasco, Washington, licensed in Washington (OP00001712) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1164539425
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS KEVIN WESTHUSINGCredential: D.O.
Location Address1200 N 14TH AVE, SUITE 400Pasco, WA 99301-4182
Mailing Address1200 N 14th Ave, Suite 400Pasco, WA 99301-4187 · (509) 545-6220 · Fax (509) 547-0894
Phone(509) 545-6220
Fax(509) 547-0894
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1999
Enumeration DateAugust 24, 2006
Last NPPES UpdateOctober 7, 2016
✔ NPI 1164539425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00001712
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 N 14TH AVE, Pasco, WA 99301
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH78527
Medicare ID-Type UnspecifiedG8850926
Medicaid8413452WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.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

Thomas Kevin Westhusing D.o. 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 ID42207375
PECOS Enrollment IDI20050126000262
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
480 services291 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
185 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services131 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
138 services138 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
125 services97 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
60 services21 patients

Hospital Affiliations CMS Care Compare

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99301 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers67 claims221 services$5.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims19 services$0.85 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$10.99 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$2.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$84.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers59 claims59 services$186.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

JEFFREY MARKLE M.D.
Internal Medicine
1200 N 14TH AVE, STE. 300D
PASCO, WA 99301
Franklin County (509) 545-1492
OUR LADY OF LOURDES HEALTH CENTER
Family Medicine
1200 N 14TH AVE
PASCO, WA 99301
Franklin County (509) 547-7704
DONNA DOYLE RPH
Pharmacist
1200 N 14TH AVE
PASCO, WA 99301
Franklin County (509) 547-1220
W THOMAS COOPER, MD PS
General Practice
1200 N 14TH AVE, SUITE 245
PASCO, WA 99301
Franklin County (509) 547-9521
MRS. SUSAN POWERS BRAIN A.R.N.P.
Nurse Practitioner
1200 N 14TH AVE, SUITE 245
PASCO, WA 99301
Franklin County (509) 547-9521
DR. ENRIQUE DELANO CARTER M.D.
Specialist
1200 N 14TH AVE, SUITE 300 C
PASCO, WA 99301
Franklin County (509) 545-0210
VALIANT W S CHOU MD
Obstetrics & Gynecology
1200 N 14TH AVE, #255
PASCO, WA 99301
Franklin County (509) 547-7536
14TH AVENUE PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
1200 N 14TH AVE
PASCO, WA 99301
Franklin County (509) 547-8360

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 Thomas Westhusing's NPI number?

The NPI number for Thomas Westhusing is 1164539425. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Thomas Westhusing located?

Thomas Westhusing practices at 1200 N 14th Ave Suite 400, Pasco, WA 99301. The listed phone number is (509) 545-6220.

What is Thomas Westhusing's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Westhusing enrolled in Medicare?

Yes. Thomas Westhusing 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 Thomas Westhusing accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Westhusing 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 Thomas Westhusing affiliated with any hospitals?

According to CMS data, Thomas Westhusing is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Westhusing was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.