DR. MOUSTAPHA DIMACHK M.D.
NPI 1215312772
Surgery in Walla Walla, WA

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
380 CHASE AVE, WALLA WALLA, WA 99362(095) 897-3790(509) 897-5558 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2024, Oct 25, 2019 (2 updates tracked since 2019).

About Dr. Moustapha Dimachk M.d. NPPES

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

DR. MOUSTAPHA DIMACHK M.D. (NPI 1215312772) is an individual surgery provider in Walla Walla, Washington, licensed in Washington (MD61595905) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215312772
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MOUSTAPHA DIMACHKCredential: M.D.
Location Address380 CHASE AVEWalla Walla, WA 99362-2924
Mailing Address380 Chase AveWalla Walla, WA 99362-2924 · (095) 897-3790 · Fax (509) 897-5558
Fax(509) 897-5558
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 27, 2015
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
NPI 1215312772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD61595905
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

380 CHASE AVE, Walla Walla, WA 99362

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

Dr. Moustapha Dimachk 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 ID7911297817
PECOS Enrollment IDI20240924004235
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 2

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

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 99362 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
380 CHASE AVE
WALLA WALLA, WA 99362
Durable Medical Equipment & Medical Supplies
380 CHASE AVE
WALLA WALLA, WA 99362
Nurse Practitioner (Family)
380 CHASE AVE
WALLA WALLA, WA 99362
Pharmacist
380 CHASE AVE
WALLA WALLA, WA 99362
Physician Assistant (Surgical)
380 CHASE AVE
WALLA WALLA, WA 99362
Surgery
380 CHASE AVE
WALLA WALLA, WA 99362
Physical Therapist (Geriatrics)
380 CHASE AVE
WALLA WALLA, WA 99362
Family Medicine
380 CHASE AVE
WALLA WALLA, WA 99362

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 Moustapha Dimachk's NPI number?

The NPI number for Moustapha Dimachk is 1215312772. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Moustapha Dimachk located?

Moustapha Dimachk practices at 380 Chase Ave, Walla Walla, WA 99362. The listed phone number is (095) 897-3790.

What is Moustapha Dimachk's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Moustapha Dimachk enrolled in Medicare?

Yes. Moustapha Dimachk 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 Moustapha Dimachk accept?

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

According to CMS data, Moustapha Dimachk is affiliated with Providence St Mary Medical Center and Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Moustapha Dimachk was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.