SCOTT RAY PLEINES PA
NPI 1588893093
Physician Assistant in Spokane, WA
NPI Status: Active since July 06, 2009
Contact Information
551 E HAWTHORNE RD
SPOKANE, WA
ZIP 99218
Phone: (509) 252-1900
Fax: (509) 474-5859
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About SCOTT PLEINES
This page provides the complete NPI Profile along with additional information for Scott Pleines, a primary care provider established in Spokane, Washington with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1588893093 assigned on July 2009. The practitioner's primary taxonomy code is 363A00000X with license number PA60370754 (WA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1588893093
- Provider Name
- SCOTT RAY PLEINES PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 551 E HAWTHORNE RD SPOKANE, WA 99218
- Location Phone
- (509) 252-1900
- Location Fax
- (509) 474-5859
- Mailing Address
- PO BOX 421 LIBERTY LAKE, WA 99019
- Mailing Phone
- (866) 747-2455
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2009
- Last Update Date
- 05-07-2016
- Code Navigator
A primary care provider (PCP) like Scott Pleines sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA60370754
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | TA60393872 (WA) |
| 2 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | TA60393872 (WA) |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | TA603983872 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Scott Pleines is enrolled in PECOS and is eligible to order or refer health care 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 99218 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 8 | 9 | 3 | 0 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 16 | 9 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 6 + 0 + 1 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1588893093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023394210 | PROVIDENCE PHYSICIAN SERVICE Organization | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 252-1900 |
| 1245535632 | COLLEEN E SMITH PA-C Individual | Physician Assistant (Medical) | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 944-8910 |
| 1659580769 | ELIZABETH O'HALLORAN M.D. Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 474-2072 |
| 1649605361 | CINDI MARIE WARBURTON DNP, FNP-C Individual | Nurse Practitioner | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1578946513 | MATTHEW M YAMAMOTO PA-C Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 252-1900 |
| 1093942799 | DR. MITCHELL VAN TIPPETTS MD Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1376771584 | DR. JOSHUA ANDREW BEERS M.D. Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1750802393 | CHRISTOPHER PAUL SWANSON PA Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 252-1900 |
| 1144753088 | MS. LISA TISCH NP Individual | Nurse Practitioner (Family) | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1477545192 | ANDREA K JOHNSON MD Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 252-1900 |
| 1366474371 | MS. PAMELA A LANCASTER PA Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1891814455 | JOHN F LORANGER PAC Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1760639603 | JACOB CHARLES DEAKINS MD Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1497066211 | DR. BRETT ECKENROD M.D. Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1942644414 | DR. DAVID ANDREW HOSCHEK D.O. Individual | Family Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1285976803 | MR. CHAYENE PETERSON ALBUQUERQUE FNP-C Individual | Nurse Practitioner | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1720430796 | NATHAN LE P.A. Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1245889419 | YANA VISTOROVSKAYA Individual | Physician Assistant | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1063579977 | MR. KENNETH J. RINEHART A.R.N.P. Individual | Nurse Practitioner (Family) | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
| 1316007966 | DR. DARROL K HVAL D.O. Individual | Emergency Medicine | 551 E HAWTHORNE RD SPOKANE, WA 99218 (509) 489-2369 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588893093, enumerated in the NPI registry as an "individual" on July 06, 2009
The provider is located at 551 E Hawthorne Rd Spokane, Wa 99218 and the phone number is (509) 252-1900
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 06, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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