MARCEL GERARDO PEREZ REVERON
NPI 1174370332
Physician Assistant in Spokane, WA

Q: What is Marcel Perez Reveron's NPI number?

The NPI number for Marcel Perez Reveron is 1174370332. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Q: What is Marcel Perez Reveron's specialty?

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

Active since May 03, 2024PECOS EnrolledAccepts Medicare Assignment

62 W 7TH AVE STE 420, SPOKANE, WA 99204(509) 626-9440 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, May 3, 2024 (2 updates tracked since 2024).

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About Marcel Gerardo Perez Reveron NPPES

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

MARCEL GERARDO PEREZ REVERON (NPI 1174370332) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA70076782) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1174370332

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARCEL GERARDO PEREZ REVERON

Location Address62 W 7TH AVE STE 420Spokane, WA 99204-2321

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-0001 · (866) 747-2455 · Fax (509) 944-9644

Phone(509) 626-9440

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2025

Enumeration DateMay 3, 2024

Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1174370332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA70076782

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.

62 W 7TH AVE STE 420, Spokane, WA 99204

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Secondary Practice Location 1

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 756-1959

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

Marcel Gerardo Perez Reveron 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 ID8921585266

PECOS Enrollment IDI20260116003280

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.

Hospital Affiliations CMS Care Compare

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

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 99204 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 8

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

DR. LUKE XIAOLI ZHAN M.D., PH.D.

Surgery (Vascular Surgery)