Brett Matthew Thorsten Flory , PA
Physician Assistant • Spanaway, WA
225 176th St S
Spanaway, WA 98387
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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NPI assigned on September 3, 2014; this date does not establish years in practice.
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Published CMS data list 4,646 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml: 3,426 service units.
- 99213 — Established patient outpatient office visit: 313 service units.
- 99214 — Established patient outpatient office visit: 143 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 31 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 274 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:
- Cephalexin — 45 prescription fills, including refills.
- Prednisone — 43 prescription fills, including refills.
- Cefdinir — 28 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 all 13 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% 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 – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 299 in 2020 to 4,646 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
225 176th St S
Spanaway, WA 98387
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Bend, OR. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
944 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 – by Provider, 2024.
Medicare-allowed amount
About $77,656 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 – by Provider and Service, 2024.
Paid by Medicare
About $58,284 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 – by Provider and Service, 2024.
30-day fills
295 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
$5,463 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
2014
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)
Brett Flory 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 Brett Flory 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 Spanaway and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Too few clinicians listed under Physician Assistant in Spanaway have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% 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.
Too few clinicians listed under Physician Assistant in Spanaway have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 90% 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.
Too few clinicians listed under Physician Assistant in Spanaway have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Too few clinicians listed under Physician Assistant in Spanaway have Medicare Part D data for 2024 to compare.
Part D drug cost
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.
Too few clinicians listed under Physician Assistant in Spanaway have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Physician Assistant with a practice address in Spanaway, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
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 1454% from 299 in 2020 to 4,646 in 2024.
- 2020: 299
- 2021: 628
- 2022: 1,142
- 2023: 2,895
- 2024: 4,646
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Medicare-allowed amount
Medicare-allowed amount increased 302% from $19,307 in 2020 to $77,656 in 2024.
- 2020: $19,307
- 2021: $45,179
- 2022: $67,127
- 2023: $42,837
- 2024: $77,656
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Paid by Medicare
Paid by Medicare increased 336% from $13,370 in 2020 to $58,284 in 2024.
- 2020: $13,370
- 2021: $36,389
- 2022: $56,892
- 2023: $30,406
- 2024: $58,284
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 568% from 41 in 2020 to 274 in 2024.
- 2020: 41
- 2021: 98
- 2022: 218
- 2023: 119
- 2024: 274
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30-day fills
30-day fills increased 619% from 41 in 2020 to 295 in 2024.
- 2020: 41
- 2021: 98
- 2022: 220
- 2023: 119
- 2024: 295
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Part D drug cost
Part D drug cost went from $288 in 2020 to $5,463 in 2024.
- 2020: $288
- 2021: $886
- 2022: $2,278
- 2023: $1,142
- 2024: $5,463
Sources: CMS Medicare Physician & Other Practitioners (2024), 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 2016–2023 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, 2017–2024; 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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Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
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3,426 | 33 | $0.36 | $0.13 |
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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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313 | 302 | $256.71 | $74.11 |
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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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143 | 140 | $382.50 | $104.73 |
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77063
Screening 3d breast mammography
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69 | 69 | $86.03 | $23.12 |
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77067
Screening mammography
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69 | 69 | $337.12 | $88.83 |
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81003
Automated urinalysis test
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59 | 58 | $6.00 | $2.20 |
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71046
X-ray of chest, 2 views
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55 | 55 | $68.67 | $22.31 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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50 | 50 | $80.00 | $34.62 |
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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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46 | 46 | $379.11 | $90.39 |
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87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
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39 | 39 | $116.00 | $50.28 |
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76770
Complete ultrasound scan behind abdominal cavity
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33 | 33 | $256.39 | $70.13 |
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72100
X-ray of lower and sacral spine, 2-3 views
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27 | 27 | $86.00 | $28.29 |
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73630
X-ray of foot, minimum of 3 views
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26 | 25 | $77.62 | $25.43 |
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76536
Ultrasound scan of head and neck soft tissue
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25 | 25 | $291.44 | $81.25 |
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74177
Ct scan of abdomen and pelvis with contrast
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22 | 20 | $773.77 | $218.83 |
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73030
X-ray of shoulder, minimum of 2 views
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21 | 19 | $68.00 | $25.06 |
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73502
X-ray of hip, 2-3 views
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21 | 19 | $104.14 | $35.74 |
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73130
X-ray of hand, minimum of 3 views
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20 | 15 | $83.60 | $27.98 |
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73562
X-ray of knee, 3 views
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20 | 15 | $93.95 | $30.81 |
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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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20 | 20 | $578.00 | $136.63 |
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71250
Ct scan of chest without contrast
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18 | 18 | $331.44 | $80.51 |
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76705
Limited ultrasound scan of abdomen
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16 | 16 | $209.75 | $57.76 |
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87502
Detection test by nucleic acid for multiple types influenza virus
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15 | 15 | $216.00 | $93.88 |
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94640
Inhalation treatment for airway obstruction or sputum production
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14 | 14 | $58.00 | $6.49 |
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76856
Complete ultrasound scan of pelvis
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12 | 12 | $255.00 | $70.75 |
(top 25 shown)
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 |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 45 | 318 | $311.51 | 44 |
| Prednisone | Prednisone | 43 | 179 | $54.61 | 43 |
| Cefdinir | Cefdinir | 28 | 220 | $458.93 | 28 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 27 | 608 | $654.43 | 26 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 133 | $61.57 | 19 |
| Fluticasone Propionate | Fluticasone Propionate | 17 | 1,050 | $176.83 | 13 |
| Ofloxacin | Ofloxacin | 17 | 431 | $452.89 | 17 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 160 | $211.20 | 16 |
| Paxlovid | Nirmatrelvir/Ritonavir | 16 | 80 | $2,857.99 | 16 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 13 | 39 | $39.84 | 13 |
| Amoxicillin | Amoxicillin | 11 | 105 | $68.99 | 11 |
| Azithromycin | Azithromycin | 11 | 37 | $46.25 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | 115 | $67.54 | 11 |
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: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180705001619
OR
5395058838
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
108 Nw Sisemore St
Bend, OR 977032869
Phone: 5412132133
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 225 176TH ST S, SPANAWAY, WA 98387 (Tel: 2534597777)
NPI status registered as active in NPPES database
Registered at 225 176TH ST S, SPANAWAY, WA 983879201 (Tel: 2534597777)
Registered at 225 176TH ST S, SPANAWAY, WA 983879201 (Tel: 2534597777)
Recorded as BRETT FLORY, P.A.
Emergency Medicine (license number reported to NPPES: WA OA60534015)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
225 176th St S
Spanaway, WA 983879201
Phone: 2534597777