Pamela Spickler , NP
Nurse Practitioner • Lewiston, ID
2517 17th St Ste B
Lewiston, ID 83501
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Pamela Spickler is listed in NPPES under Nurse Practitioner.
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NPI assigned on March 9, 2018; this date does not establish years in practice.
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Published CMS data list 1,387 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day: 479 service units.
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 448 service units.
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 147 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 13 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrochlorothiazide — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Lewiston, ID (2024, 20 clinicians with data). Median for this group: 2,004. Middle half: 300 to 4,186.
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Idaho (2024, 331 clinicians with data). Median for this group: 336. Middle half: 98 to 1,293.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 253 in 2018 to 1,387 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2020.
Practice Location & Contact Primary Location
2517 17th St Ste B
Lewiston, ID 83501
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $96,154 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Paid by Medicare
About $73,862 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
30-day fills
13 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$47 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Pamela Spickler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Pamela Spickler as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lewiston and Idaho
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Lewiston, ID (2024, 20 clinicians with data). Median for this group: 2,004. Middle half: 300 to 4,186.
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Idaho (2024, 331 clinicians with data). Median for this group: 336. Middle half: 98 to 1,293.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Lewiston, ID (2024, 20 clinicians with data). Median for this group: $141,808. Middle half: $44,635 to $379,323.
A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Idaho (2024, 331 clinicians with data). Median for this group: $19,197. Middle half: $1,679 to $146,601.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Pamela Spickler are from 2020.
26 active clinicians are listed under Nurse Practitioner with a practice address in Lewiston, ID (594 in Idaho).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lewiston
15.4% of these 26 clinicians have the CMS telehealth indicator.
69.2% of these 26 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 448% from 253 in 2018 to 1,387 in 2020.
- 2018: 253
- 2019: 688
- 2020: 1,387
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Medicare-allowed amount
Medicare-allowed amount increased 455% from $17,327 in 2018 to $96,154 in 2020.
- 2018: $17,327
- 2019: $42,596
- 2020: $96,154
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Paid by Medicare
Paid by Medicare increased 440% from $13,685 in 2018 to $73,862 in 2020.
- 2018: $13,685
- 2019: $32,055
- 2020: $73,862
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 99% from 1,553 in 2020 to 13 in 2024.
- 2020: 1,553
- 2021: 290
- 2022: 13
- 2023: 12
- 2024: 13
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30-day fills
30-day fills decreased 99% from 1,598 in 2020 to 13 in 2024.
- 2020: 1,598
- 2021: 290
- 2022: 13
- 2023: 12
- 2024: 13
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Part D drug cost
Part D drug cost decreased 100% from $58,516 in 2020 to $47 in 2024.
- 2020: $58,516
- 2021: $9,991
- 2022: $115
- 2023: $89
- 2024: $47
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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479 | 129 | $212.69 | $55.66 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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448 | 130 | $269.35 | $73.80 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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147 | 87 | $393.72 | $109.51 |
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99307
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
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101 | 39 | $137.25 | $35.45 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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98 | 43 | $173.54 | $74.22 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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40 | 28 | $120.50 | $56.11 |
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99316
Nursing facility discharge management, more than 30 minutes
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30 | 29 | $324.50 | $85.78 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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20 | 14 | $260.85 | $109.70 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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13 | 13 | $495.85 | $134.92 |
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99497
Advance care planning, first 30 minutes
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11 | 11 | $242.00 | $64.77 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrochlorothiazide | Hydrochlorothiazide | 13 | 390 | $46.63 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180524001461
ID
2567727480
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Specialist
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2517 17TH ST STE B, LEWISTON, ID 83501 (Tel: 2087434373)
Recorded as PAMELA SPICKLER, NP
NPI status registered as active in NPPES database
Registered at 2517 17TH ST STE B, LEWISTON, ID 835016311 (Tel: 2087434373)
Registered at 2517 17TH ST STE B, LEWISTON, ID 835016311 (Tel: 2087434373)
Recorded as PAM SPICKLER, NP
Nurse Practitioner (license number reported to NPPES: ID 57698)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Lewiston
- Dr. Ryan Daly, DNP
- Jennifer Creaser, ARNP
- Beverly Kloepfer, NP-C
- Rebecca Horne, NP-C
- Lembi Che
- Brandy Thompson, NP-C
Mailing Address
2517 17th St Ste B
Lewiston, ID 835016311
Phone: 2087434373