ERIC J BOWTON M.D.
NPI 1538169446
Orthopaedic Surgery in Spokane, WA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
820 S MCCLELLAN ST, SUITE 300, SPOKANE, WA 99204(509) 838-7100(509) 838-0721 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2021, Oct 1, 2015 (2 updates tracked since 2015).

About Eric J Bowton M.d. NPPES

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

ERIC J BOWTON M.D. (NPI 1538169446) is an individual orthopaedic surgery provider in Spokane, Washington, licensed in Washington (MD00032121) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1538169446
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameERIC J BOWTONCredential: M.D.
Location Address820 S MCCLELLAN ST, SUITE 300Spokane, WA 99204-2457
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455
Fax(509) 838-0721
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 21, 2005
Last NPPES UpdateApril 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1538169446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD00032121
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
820 S MCCLELLAN ST, Spokane, WA 99204

Secondary Practice Location 1

Location 1212 E Central Ave Ste 440Spokane, WA 99208-6290 · Phone (509) 252-1977 · Fax (509) 465-3026

Other Identifiers 1

Medicaid1089127WA

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

Eric J Bowton 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 ID1759280399
PECOS Enrollment IDI20040122000934, I20210104001946
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

2

Medicare enrollment records show Eric Bowton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
1550 S PIONEER WAY STE 115
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 158 clinicians in this Medicare group
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services60 patients
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.
38 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 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.
29 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services12 patients

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 20

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

Internal Medicine (Rheumatology)
820 S MCCLELLAN ST, SUITE 200
SPOKANE, WA 99204
Nurse Practitioner
820 S MCCLELLAN ST
SPOKANE, WA 99204
Marriage & Family Therapist
820 S MCCLELLAN ST, SUITE 411
SPOKANE, WA 99204
Physician Assistant
820 S MCCLELLAN ST, SUITE 300
SPOKANE, WA 99204
Obstetrics & Gynecology
820 S MCCLELLAN ST, #116
SPOKANE, WA 99204
Nurse Practitioner
820 S MCCLELLAN ST, #LL10
SPOKANE, WA 99204
Clinical Nurse Specialist (Emergency)
820 S MCCLELLAN ST, SUITE 426
SPOKANE, WA 99204
Orthopaedic Surgery
820 S MCCLELLAN ST, SUITE 300
SPOKANE, WA 99204

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 Eric Bowton's NPI number?

The NPI number for Eric Bowton is 1538169446. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Eric Bowton located?

Eric Bowton practices at 820 S Mcclellan St Suite 300, Spokane, WA 99204. The listed phone number is (509) 838-7100.

What is Eric Bowton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Bowton enrolled in Medicare?

Yes. Eric Bowton 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 Eric Bowton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Bowton reassigns Medicare benefits to 2 organizations: Grant County Public Hospital District 1 (Moses Lake, WA) and Southeast Alaska Regional Health Consortium (Edna Bay, 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 Eric Bowton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Bowton accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Eric Bowton 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.

When was this NPI record last updated?

The NPPES record for Eric Bowton was last updated on April 23, 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.