DR. RANDALL WAYNE PFLUGRAD MD NPI 1750492914

Internal Medicine in Spokane, WA

NPI 1750492914 Individual Male Internal Medicine PECOS Enrolled Medicare Quality Reporting

About RANDALL PFLUGRAD

Randall Pflugrad is an internal medicine provider established in Spokane, Washington and his medical specialization is internal medicine. The NPI number of Randall Pflugrad is 1750492914 and was assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number WA 20004 (WA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Dr. Randall Wayne Pflugrad Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Randall Pflugrad is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Randall Pflugrad is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1750492914

Provider NameDR. RANDALL WAYNE PFLUGRAD MD
Provider Location Address5633 N LIDGERWOOD ST SPOKANE, WA 99208
Provider Mailing Address5633 N LIDGERWOOD ST SPOKANE, WA 99208
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-31-2006
Last Update Date12-02-2011


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.WA 20004
License StateWA
Taxonomy DescriptionA 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.

Business Address

DR. RANDALL WAYNE PFLUGRAD MD
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 252-6336

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Mailing Address

DR. RANDALL WAYNE PFLUGRAD MD
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 252-6336



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 100% 345
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003888108 THOMAS D DEA PA-C
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2460
1700854510DR. RICHARD DONALD CARPER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5633 N LIDGERWOOD ST HOLY FAMILY HOSPITAL-PHARMACY DEPARTMENT
SPOKANE, WA 99208
(509) 482-2262
1053356212 MARY ANNA CHIU M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1184736407DR. BARDOMIANO SANCHEZ JR.
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1447342373PROVIDENCE HEALTH CARE
Organization
General Acute Care Hospital5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1861571804MR. JEFFREY EDWARD NELSON CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1114072279 STANLEY J. MALNAR MD
Individual
Family Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1528113768 BRETT E. ENLOW MD
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1245372853 JOHN HUNTER P.A.
Individual
Physician Assistant (Medical)5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1124160742 PAUL D HILL A.R.N.P.
Individual
Nurse Practitioner5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1306988969 RICHARD H SCHADE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1154463727 GORDON HOFFNAGLE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1982746699 MICHAEL R TUCCIO P.A.
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1174665913DR. GARY G GULARTE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1013059880DR. RICHARD W WALKER M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1528100393DR. RANDAL P DEFELICE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1750423539DR. MARK C WHITMAN M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1700928975 MICHAEL FRENCH CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1619019924 CYNTHIA S CAPPELLO CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1407068398MS. PEGGY M ENDRES CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2359

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.