Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYLAN MOGK MD
NPI 1720540784
Internal Medicine in Spokane, WA

Q: What is Dylan Mogk's NPI number?

The NPI number for Dylan Mogk is 1720540784. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Dylan Mogk's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Mogk was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

624 E FRONT AVE, SPOKANE, WA 99202(509) 626-9900 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2026, May 3, 2023, Jul 16, 2022 and 2 more (5 updates tracked since 2019).

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About Dylan Mogk Md NPPES

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

DYLAN MOGK MD (NPI 1720540784) is an individual internal medicine provider in Spokane, Washington, licensed in Washington (MD61258906) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720540784

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDYLAN MOGKCredential: MD

Location Address624 E FRONT AVESpokane, WA 99202-2139

Mailing AddressPo Box 421Liberty Lake, WA 99019-0421

Phone(509) 626-9900

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018

Enumeration DateApril 1, 2019

Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1720540784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in WA · MD61258906✔ Licensed in ID · MRM1804

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

624 E FRONT AVE, Spokane, WA 99202

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Secondary Practice Locations 3

Location 1500 W Fort St # 111RBoise, ID 83702-4501 · Phone (208) 422-1000 ext. 7938

Location 2101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3260

Location 3700 S Main StMoscow, ID 83843-3046 · Phone (208) 882-4511

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

Dylan Mogk 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 ID244572691

PECOS Enrollment IDI20260715003172

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 Dylan Mogk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gritman Medical Center Inc

67 mi

Critical Access

700 S MAIN ST
Moscow, ID 83843

Reassigned Medicare billing, Idaho enrollment
62 clinicians in this Medicare group

NPI 1619988144 (208) 882-4511

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

190 services95 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.

121 services71 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.

53 services52 patients

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.

29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Gritman Medical Center

Critical Access Hospitals · Moscow, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131327

Location700 South Main StreetMoscow, ID 83843 · Latah County

Emergency services

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 99202 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

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.

JEFFREY TODD KILCUP DO

Internal Medicine