Michael Clifford Perala , PA-C
Physician Assistant โข Richland, WA
875 Swift Blvd
Richland, WA 993523592
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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Michael Perala is listed in NPPES under Physician Assistant.
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NPI assigned on November 11, 2005; this date does not establish years in practice.
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Published CMS data list 371 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 178 service units.
- 99203 โ New patient outpatient office visit: 82 service units.
- 99213 โ Established patient outpatient office visit: 65 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 567 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 133 prescription fills, including refills.
- Oxycodone Hcl โ 98 prescription fills, including refills.
- Ondansetron Odt (Ondansetron) โ 70 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Richland, WA (2024, 51 clinicians with data). Median for this group: 257. Middle half: 110 to 395.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,020 in 2020 to 371 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
875 Swift Blvd
Richland, WA 993523592
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Kadlec Regional Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Washington School Of Medicine
2000
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
225 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $28,574 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $21,267 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
592 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
$4,375 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2022
All general payments: $151.40 across 2 records.
By nature of payment
- Food and Beverage: $151.40 across 2 records.
Reporting-company totals
- Heron Therapeutics, Inc.: $86.40 across 1 record.
- Smith+Nephew, Inc.: $65.00 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Michael Perala 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 Michael Perala 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 Richland and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Richland, WA (2024, 51 clinicians with data). Median for this group: 257. Middle half: 110 to 395.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Richland, WA (2024, 51 clinicians with data). Median for this group: $20,801. Middle half: $8,637 to $34,152.
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Richland, WA (2024, 51 clinicians with data). Median for this group: $15,347. Middle half: $6,854 to $24,449.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Richland, WA (2024, 48 clinicians with data). Median for this group: 126. Middle half: 55 to 285.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Richland, WA (2024, 48 clinicians with data). Median for this group: $1,175. Middle half: $364 to $4,169.
Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.
81 active clinicians are listed under Physician Assistant with a practice address in Richland, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Richland
14.8% of these 81 clinicians have the CMS telehealth indicator.
67.9% of these 81 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 decreased 82% from 2,020 in 2020 to 371 in 2024.
- 2020: 2,020
- 2021: 2,399
- 2022: 1,624
- 2023: 558
- 2024: 371
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Medicare-allowed amount
Medicare-allowed amount decreased 77% from $122,008 in 2020 to $28,574 in 2024.
- 2020: $122,008
- 2021: $142,900
- 2022: $107,434
- 2023: $41,219
- 2024: $28,574
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Paid by Medicare
Paid by Medicare decreased 77% from $91,374 in 2020 to $21,267 in 2024.
- 2020: $91,374
- 2021: $111,227
- 2022: $80,240
- 2023: $32,102
- 2024: $21,267
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 27% from 445 in 2020 to 567 in 2024.
- 2020: 445
- 2021: 476
- 2022: 580
- 2023: 417
- 2024: 567
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30-day fills
30-day fills increased 20% from 493 in 2020 to 592 in 2024.
- 2020: 493
- 2021: 521
- 2022: 654
- 2023: 468
- 2024: 592
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Part D drug cost
Part D drug cost decreased 21% from $5,563 in 2020 to $4,375 in 2024.
- 2020: $5,563
- 2021: $5,726
- 2022: $4,529
- 2023: $4,287
- 2024: $4,375
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $151.40.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Heron Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Zynrelef | General | $86.40 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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PICO | General | $65.00 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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178 | 130 | $136.22 | $80.53 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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82 | 82 | $129.00 | $68.32 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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65 | 55 | $82.72 | $55.05 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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46 | 46 | $263.02 | $109.98 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 133 | 3,228 | $908.08 | 59 |
| Oxycodone Hcl | Oxycodone Hcl | 98 | 816 | $757.76 | 59 |
| Ondansetron Odt | Ondansetron | 70 | 345 | $786.77 | 61 |
| Tizanidine Hcl | Tizanidine Hcl | 53 | 726 | $259.75 | 36 |
| Methylprednisolone | Methylprednisolone | 49 | 294 | $325.94 | 34 |
| Tramadol Hcl | Tramadol Hcl | 46 | 390 | $228.52 | 24 |
| Methocarbamol | Methocarbamol | 46 | 436 | $494.55 | 25 |
| Cephalexin | Cephalexin | 24 | 115 | $101.83 | 22 |
| Meloxicam | Meloxicam | 17 | 945 | $119.24 | โ |
| Hydromorphone Hcl | Hydromorphone Hcl | 16 | 109 | $121.94 | 15 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 15 | 133 | $271.11 | โ |
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: 363A00000X
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.
NUCC Taxonomy Code: 363A00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110210000561
WA
9436339272
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Kadlec Regional Medical Center
1135 Jadwin Ave, Richland, WA 993523434
Phone: 5099423300
Kadlec Regional Medical Center
1100 Goethals Dr, Richland, WA 993523301
Kadlec Regional Medical Center
888 Swift Blvd, Richland, WA 993523514
Phone: 5099464611
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Master of Physical Therapy
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352 (Tel: 5099423627)
Registered at 875 SWIFT BLVD, RICHLAND, WA 993523592 (Tel: 5099461654)
Recorded as MICHAEL PERALA, PA-C
Physician Assistant (license number reported to NPPES: WA PA10004040)
NPI status registered as active in NPPES database
Registered at 875 SWIFT BLVD, RICHLAND, WA 993523592 (Tel: 5099461654)
Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)
Recorded as MICHAEL PERALA, PA-C
Physician Assistant (license number reported to NPPES: WA MP0603630)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Richland
- Daniel Elliott, PA-C
- Kimberly Lindquist, PA
- Ara Wilson, PA-C
- Zandra Melchor, PA-C
- Amy Hoger, PA-C
- Juliana Asencio, PA-C
Mailing Address
560 Gage Blvd, Suite 203
Richland, WA 99352
Phone: 5099423627