MIRANDA K DETORE PA-C
NPI 1720471774
Physician Assistant in Spokane, WA

Q: What is Miranda Detore's NPI number?

The NPI number for Miranda Detore is 1720471774. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Q: What is Miranda Detore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Detore was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 16, 2015PECOS EnrolledAccepts Medicare Assignment

217 W CATALDO AVE, SPOKANE, WA 99201(509) 747-6194(509) 252-2837 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miranda K Detore Pa-c NPPES

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

MIRANDA K DETORE PA-C (NPI 1720471774) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA60610394) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Lincoln Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720471774

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIRANDA K DETORECredential: PA-C

Location Address217 W CATALDO AVESpokane, WA 99201-2217

Mailing AddressPo Box 2242Spokane, WA 99210-2242 · (509) 747-6194 · Fax (509) 252-2837

Phone(509) 747-6194

Fax(509) 252-2837

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 16, 2015

Last NPPES UpdateFebruary 6, 2024

NPPES CertifiedFebruary 6, 2024

✔ NPI 1720471774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA60610394

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

217 W CATALDO AVE, Spokane, WA 99201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Miranda K Detore Pa-c 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 ID244551935

PECOS Enrollment IDI20160112002533

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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

24 services12 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services11 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lincoln Hospital

Critical Access Hospitals · Davenport, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501305

Location10 Nichols StreetDavenport, WA 99122 · Lincoln County

Emergency services

East Adams Rural Hospital

Critical Access Hospitals · Ritzville, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501311

Location903 South AdamsRitzville, WA 99169 · Adams County

Emergency services

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

$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.

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