AJAY PABBY MD
NPI 1205929163
Internal Medicine - Gastroenterology in Spokane, WA

Q: What is Ajay Pabby's NPI number?

The NPI number for Ajay Pabby is 1205929163. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Ajay Pabby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Pabby was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

910 W 5TH AVE STE 501570, SPOKANE, WA 99204(509) 755-5220(509) 455-8828 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2021, May 16, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2015).

On this page

About Ajay Pabby Md NPPES

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

AJAY PABBY MD (NPI 1205929163) is an individual gastroenterology provider in Spokane, Washington, licensed in Washington (MD60551062) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Boston University School Of Medicine (1999).

NPPES Registry Identity

NPI1205929163

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameAJAY PABBYCredential: MD

Location Address910 W 5TH AVE STE 501570Spokane, WA 99204-2966

Mailing Address324 N Willow RdSpokane Valley, WA 99206-6813 · (509) 939-4539

Phone(509) 755-5220

Fax(509) 455-8828

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1999

Enumeration DateOctober 2, 2006

Last NPPES UpdateMay 24, 20214 updates tracked since enumeration

NPPES CertifiedMay 24, 2021

✔ NPI 1205929163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WA · MD60551062

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

910 W 5TH AVE STE 501570, Spokane, WA 99204

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ajay Pabby Md 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 ID4486757051

PECOS Enrollment IDI20150731015604, I20210611000840

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.

Medicare Billing Reassignments

Medicare enrollment records show Ajay Pabby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System

0.4 mi

Internal Medicine

400 E 5TH AVE
Spokane, WA 99202

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1730687161 (509) 838-2531

Alaska Native Tribal Health Consortium

1,581 mi

General Acute Care Hospital

4315 DIPLOMACY DR
Anchorage, AK 99508

Reassigned Medicare billing, Texas enrollment
1,373 clinicians in this Medicare group

NPI 1437189339 (907) 563-2662

Pioneer Gi Clinic, Apc

1,583 mi

Gastroenterology

1200 AIRPORT HEIGHTS DR, STE 210
Anchorage, AK 99508

Reassigned Medicare billing, Alaska enrollment
8 clinicians in this Medicare group

NPI 1649457581 (907) 562-6001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

208 services192 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

180 services179 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

62 services62 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

50 services43 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

45 services45 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

30 services30 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

29 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

24 services23 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

20 services20 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

20 services20 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

19 services16 patients

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.

14 services14 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500044

LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County

Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500119

Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

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.

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 Ajay Pabby's NPI number?

The NPI number for Ajay Pabby is 1205929163. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Ajay Pabby located?

Ajay Pabby practices at 910 W 5th Ave Ste 501570, Spokane, WA 99204. The listed phone number is (509) 755-5220.

What is Ajay Pabby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ajay Pabby enrolled in Medicare?

Yes. Ajay Pabby 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.

Which organizations bill Medicare for Ajay Pabby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Pabby reassigns Medicare benefits to 3 organizations: Multicare Health System (Spokane, WA), Alaska Native Tribal Health Consortium (Anchorage, AK) and Pioneer Gi Clinic, Apc (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ajay Pabby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Pabby accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ajay Pabby 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 Ajay Pabby affiliated with any hospitals?

According to CMS data, Ajay Pabby is affiliated with Deaconess Medical Center, Multicare Valley Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Pabby was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.