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KRISTINA KANESHIRO SWIGGUM MD
NPI 1225122591
Internal Medicine - Geriatric Medicine in Spokane Valley, WA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
1215 N MCDONALD RD, #101, SPOKANE VALLEY, WA 99216(509) 924-1950(509) 921-0017 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristina Kaneshiro Swiggum Md NPPES

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

KRISTINA KANESHIRO SWIGGUM MD (NPI 1225122591) is an individual geriatric medicine provider in Spokane Valley, Washington, licensed in Washington (MD60092348) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1225122591
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameKRISTINA KANESHIRO SWIGGUMCredential: MD
Location Address1215 N MCDONALD RD, #101Spokane Valley, WA 99216-1557
Mailing Address1215 N Mcdonald Rd, #101Spokane Valley, WA 99216-1557 · (509) 924-1950 · Fax (509) 921-0017
Phone(509) 924-1950
Fax(509) 921-0017
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2003
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1225122591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in WA · MD60092348
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1215 N MCDONALD RD, Spokane Valley, WA 99216
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Other Names 1

Former Name (1)Kristina Kaneshiro Md

Secondary Practice Location 1

Location 12903 E 25th AveSpokane, WA 99223-4992 · Phone (509) 536-6700 · Fax (509) 536-6856

Accepted Insurance

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

Kristina Kaneshiro Swiggum 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 ID9931208212
PECOS Enrollment IDI20090817000472
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
248 services91 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.
211 services70 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
125 services58 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.
70 services70 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
69 services31 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
61 services61 patients

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 99216 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
$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.

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.

SANDRA M DICKEY PAC
Physician Assistant
1215 N MCDONALD RD, 202
SPOKANE VALLEY, WA 99216
Spokane County (509) 455-8820
HIGHLINE PHYSICAL THERAPY GROUP
Physical Therapist
1215 N MCDONALD RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 730-8064
DALE A NELSON M.D.
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950
ERIC C ELLINGSEN DDS PS
Clinic/Center (Dental)
1215 N MCDONALD RD, #203
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-2866
SANJA PROSZEK ARNP
Nurse Practitioner (Primary Care)
1215 N MCDONALD RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 598-7750
DR. ERIC C ELLINGSEN DDS
Dentist (General Practice)
1215 N MCDONALD RD, SUITE 203
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-2866
MR. ALAN J KELLY MD
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950
JOHN D SESTERO M.D.
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950

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 Kristina Swiggum's NPI number?

The NPI number for Kristina Swiggum is 1225122591. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Kristina Kaneshiro MD.

Where is Kristina Swiggum located?

Kristina Swiggum practices at 1215 N Mcdonald Rd #101, Spokane Valley, WA 99216. The listed phone number is (509) 924-1950.

What is Kristina Swiggum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kristina Swiggum enrolled in Medicare?

Yes. Kristina Swiggum 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 Kristina Swiggum accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kristina Swiggum 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 Kristina Swiggum affiliated with any hospitals?

According to CMS data, Kristina Swiggum is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Kristina Swiggum was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.