npidexNPI registry + Medicare data

TIMOTHY HOLMSTROM, MS, PA-C, ATC, CSCS

Medical Physician Assistant · PULLMAN, WA

Individual Active NPI 1346326204

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202449240$27,132$7,865$6,287
202370305$28,552$9,104$6,680

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg66$1$1
73564X-ray of knee, 4 or more views24$28$23
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more22$71$57
20610Aspiration and/or injection of fluid from large joint14$53$42
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more13$85$68
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more13$99$79

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Medical Physician Assistant363AM0700X✓PA60197224WA
Surgical Physician Assistant363AS0400XPA-2514ID
Physician Assistant363A00000XPA-2514ID
Surgical Physician Assistant363AS0400XPA 60197224WA
Medical Physician Assistant363AM0700XPA-2514ID
Physician Assistant363A00000XPA60197224WA
Athletic Trainer2255A2300X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Medical Physician Assistant providers in Washington

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.