DR. EDWARD KELLY STEVEN MRACHEK M.D.
NPI 1376802025
Pathology - Anatomic Pathology & Clinical Pathology in Spokane Valley, WA
About Dr. Edward Kelly Steven Mrachek M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD KELLY STEVEN MRACHEK M.D. (NPI 1376802025) is an individual anatomic pathology & clinical pathology provider in Spokane Valley, Washington, licensed in Washington (MD70095044) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted 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
Dr. Edward Kelly Steven Mrachek 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Kelly Mrachek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane Valley, WA 99216
- Reassigned Medicare billing, Idaho, Montana and Washington enrollments
- 50 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Patrick Hospital
Acute Care Hospitals · Missoula, MTProv Sacred Hrt Med Ctr & Childs Hosp.
Acute Care Hospitals · Spokane, WAPhysician 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.
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.
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.
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
SPOKANE VALLEY, WA 99216
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 Edward Kelly Mrachek's NPI number?
The NPI number for Edward Kelly Mrachek is 1376802025. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Edward Kelly Mrachek located?
Edward Kelly Mrachek practices at 13103 E Mansfield Ave, Spokane Valley, WA 99216. The listed phone number is (509) 753-7222.
What is Edward Kelly Mrachek's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Edward Kelly Mrachek enrolled in Medicare?
Yes. Edward Kelly Mrachek 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 Edward Kelly Mrachek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kelly Mrachek reassigns Medicare benefits to 2 organizations: Incyte Pathology, LLC (Spokane Valley, WA) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Edward Kelly Mrachek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Kelly Mrachek accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Moda Health Plan, Inc. and Providence Health Plan list Edward Kelly Mrachek 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 Edward Kelly Mrachek affiliated with any hospitals?
According to CMS data, Edward Kelly Mrachek is affiliated with St. Patrick Hospital and Prov Sacred Hrt Med Ctr & Childs Hosp..
When was this NPI record last updated?
The NPPES record for Edward Kelly Mrachek was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Dr. Edward Kelly Steven Mrachek, M.D. · NPI 1376802025
Anatomic Pathology & Clinical Pathology physician in Spokane Valley, Washington. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1376802025 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** MD70095044 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 13103 E MANSFIELD AVE, Spokane Valley, WA 99216-1642
- **Phone:** (509) 753-7222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Incyte Pathology, LLC (NPI 1326086745, Spokane Valley, WA); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376802025) · Data from the CMS NPPES public registry.