DR. ALAN JAMES ARTHUR M.D.
NPI 1780811521
Family Medicine in Kennewick, WA

Q: What is Alan Arthur's NPI number?

The NPI number for Alan Arthur is 1780811521. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Q: What is Alan Arthur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Arthur was last updated on August 18, 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.

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment

3180 W CLEARWATER AVE STE A, KENNEWICK, WA 99336(509) 547-2204(509) 542-8836 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2021, Jun 20, 2016 (2 updates tracked since 2016).

On this page

About Dr. Alan James Arthur M.d. NPPES

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

DR. ALAN JAMES ARTHUR M.D. (NPI 1780811521) is an individual family medicine provider in Kennewick, Washington, licensed in Pennsylvania (MD449803) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and is a graduate of Saint Louis University School Of Medicine (2009).

NPPES Registry Identity

NPI1780811521

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALAN JAMES ARTHURCredential: M.D.

Location Address3180 W CLEARWATER AVE STE AKennewick, WA 99336-2765

Mailing AddressPo Box 1452Pasco, WA 99301-1223 · (509) 543-1920 · Fax (509) 542-8836

Phone(509) 547-2204

Fax(509) 542-8836

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2009

Enumeration DateJune 19, 2009

Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration

NPPES CertifiedAugust 18, 2021

✔ NPI 1780811521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD449803✔ Licensed in MO · 2009015141

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3180 W CLEARWATER AVE STE A, Kennewick, WA 99336

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Dr. Alan James Arthur 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 ID143449371

PECOS Enrollment IDI20140919001094, I20210909002080

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 2

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.

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

78 services54 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Trios Health

Acute Care Hospitals · Kennewick, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500053

Location900 South Auburn StreetKennewick, WA 99336 · Benton County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501337

Location520 N Fourth AvenuePasco, WA 99301 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

2%59 patients

Breast Cancer Screening

61%212 patients3/55-star benchmark: 93%

Cervical Cancer Screening

58%566 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

24%610 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

53%848 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

73%507 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

42%389 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

25%389 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%3,362 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

25%230 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

57%1,627 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

75%1,443 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

50%2,100 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 93% · 1,302 patients

Patients screened: 98% · 1,302 patients

71%214 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%406 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 249 patients

Patients totalRate: 15% · 253 patients

14%253 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

STEPHANIE L. WHEELER M.D.

Family Medicine