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EDWARD J. REISMAN M.D.
NPI 1679619423
Family Medicine - Sports Medicine in Spokane, WA

Active since January 29, 2007PECOS Enrolled
322 W NORTH RIVER DR, SPOKANE, WA 99201(509) 324-6464 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward J. Reisman M.d. NPPES

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

EDWARD J. REISMAN M.D. (NPI 1679619423) is an individual sports medicine provider in Spokane, Washington, licensed in Washington (MD00024932) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679619423
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameEDWARD J. REISMANCredential: M.D.
Location Address322 W NORTH RIVER DRSpokane, WA 99201-3208
Mailing Address322 W North River DrSpokane, WA 99201-3208 · (509) 324-6464
Phone(509) 324-6464
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1679619423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WA · MD00024932
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD00024932 (WA)
322 W NORTH RIVER DR, Spokane, WA 99201
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Other Identifiers 1

Medicaid1035039WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward J. Reisman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Edward Reisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
222 mi
Multi-Specialty
2930 MAPLE ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1386935351 (425) 261-1500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 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
$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.

EDWARD P. BROW M.D.
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
GAVIN R VILANDER
Counselor (Mental Health)
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 241-2575
TIMOTHY J. MEYER M.D.
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
KRISTIAN ENGHUSEN OMS IV
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
DANIELLE VIDAL RIGGS ARNP
Nurse Practitioner (Family)
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
MARLENE J. SUSUMI O.D.
Optometrist
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
SCOTT B. GARLICK R. PH.
Pharmacist
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
MR. DEREK HENNESSY PA-C
Physician Assistant
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 276-5005

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 Reisman's NPI number?

The NPI number for Edward Reisman is 1679619423. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Edward Reisman located?

Edward Reisman practices at 322 W North River Dr, Spokane, WA 99201. The listed phone number is (509) 324-6464.

What is Edward Reisman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Edward Reisman enrolled in Medicare?

Yes. Edward Reisman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Reisman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Reisman reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Everett, WA). The 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 Reisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Reisman was last updated on May 3, 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.