Brock Rule
Physician Assistant โข Spokane, WA
120 W Mission Ave
Spokane, WA 992012358
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 August 29, 2017; this date does not establish years in practice.
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Published CMS data list 52 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:
- 99421 โ Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes: 19 service units.
- 99204 โ New patient outpatient office visit: 18 service units.
- 99214 โ Established patient outpatient office visit: 15 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 the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 470 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:
- Losartan Potassium โ 47 prescription fills, including refills.
- Lisinopril โ 40 prescription fills, including refills.
- Atorvastatin Calcium โ 35 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 23 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
Fewer Medicare Part B services than 80% 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 30 in 2021 to 52 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
120 W Mission Ave
Spokane, WA 992012358
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: Multicare Health System. 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
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
53 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 $4,335 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 $2,231 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
1,058 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
$6,583 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $21.37 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 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
2017
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)
Brock Rule 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 Brock Rule 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 Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
Fewer Medicare Part B services than 80% 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 lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $22,397. Middle half: $7,392 to $45,879.
A lower Medicare-allowed amount than 80% 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 lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $16,363. Middle half: $5,367 to $34,615.
A lower Medicare payment amount than 85% 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 60% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: 280. Middle half: 115 to 1,102.
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
Close to the middle for clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: $6,032. Middle half: $1,197 to $122,373.
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.
315 active clinicians are listed under Physician Assistant with a practice address in Spokane, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
14.3% of these 315 clinicians have the CMS telehealth indicator.
68.9% of these 315 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 73% from 30 in 2021 to 52 in 2024.
- 2021: 30
- 2022: 83
- 2023: 235
- 2024: 52
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Medicare-allowed amount
Medicare-allowed amount went from $772 in 2021 to $4,335 in 2024.
- 2021: $772
- 2022: $7,493
- 2023: $23,136
- 2024: $4,335
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Paid by Medicare
Paid by Medicare went from $772 in 2021 to $2,231 in 2024.
- 2021: $772
- 2022: $5,717
- 2023: $16,133
- 2024: $2,231
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 87% from 3,540 in 2020 to 470 in 2024.
- 2020: 3,540
- 2021: 2,517
- 2022: 1,982
- 2023: 1,602
- 2024: 470
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30-day fills
30-day fills decreased 79% from 4,961 in 2020 to 1,058 in 2024.
- 2020: 4,961
- 2021: 3,614
- 2022: 2,920
- 2023: 2,788
- 2024: 1,058
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Part D drug cost
Part D drug cost decreased 97% from $206,192 in 2020 to $6,583 in 2024.
- 2020: $206,192
- 2021: $99,218
- 2022: $58,048
- 2023: $25,101
- 2024: $6,583
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $50.48 in 2021 to $21.37 in 2022.
- 2021: $50.48
- 2022: $21.37
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 $21.37.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| HOLOGIC INC |
Food and Beverage
In-kind items and services
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APTIMA | General | $21.37 |
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 2020โ2023 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, 2021โ2024; 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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99421
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes
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19 | 19 | $35.00 | $12.06 |
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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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18 | 18 | $488.00 | $137.18 |
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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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15 | 13 | $343.00 | $109.09 |
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 |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 47 | 3,410 | $438.24 | 22 |
| Lisinopril | Lisinopril | 40 | 3,200 | $213.76 | 23 |
| Atorvastatin Calcium | Atorvastatin Calcium | 35 | 3,028 | $366.71 | 20 |
| Amlodipine Besylate | Amlodipine Besylate | 32 | 2,170 | $357.90 | 13 |
| Omeprazole | Omeprazole | 31 | 2,250 | $515.64 | 18 |
| Metoprolol Succinate | Metoprolol Succinate | 23 | 1,650 | $372.29 | 14 |
| Pantoprazole Sodium | Pantoprazole Sodium | 20 | 1,080 | $352.56 | โ |
| Metformin Hcl Er | Metformin Hcl | 20 | 1,194 | $87.20 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 19 | 1,342 | $632.65 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 18 | 1,004 | $231.94 | โ |
| Metformin Hcl | Metformin Hcl | 18 | 1,031 | $96.31 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 18 | 1,192 | $145.52 | โ |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 18 | 1,280 | $117.23 | โ |
| Montelukast Sodium | Montelukast Sodium | 17 | 1,330 | $273.78 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 15 | 383 | $412.70 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 15 | 1,245 | $183.86 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 15 | 757 | $957.79 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 12 | 1,090 | $76.04 | โ |
| Quetiapine Fumarate | Quetiapine Fumarate | 12 | 855 | $366.51 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | 46 | $54.85 | 11 |
| Allopurinol | Allopurinol | 11 | 810 | $15.06 | โ |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 11 | 562 | $236.47 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | 83 | $78.36 | 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
Self-certified to NPPES: 2021-03-22NUCC 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: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20171117001906
WA
7113283573
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
Multicare Health System
400 E 5th Ave, Spokane, WA 992021334
Phone: 5098382531
Multicare Health System
300 E 5th Ave, Spokane, WA 992021334
Multicare Health System
4700 Point Fosdick Dr, Gig Harbor, WA 983351706
Secondary Practice Locations
120 W Mission Ave
Spokane, WA 992012358
Phone: 5093264343
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Pharmacist
Nurse Practitioner - Family
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Family Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as BROCK RULE
NPI status registered as active in NPPES database
Registered at 120 W MISSION AVE, SPOKANE, WA 992012358 (Tel: 5093264343)
Registered at 120 W MISSION AVE, SPOKANE, WA 992012358 (Tel: 5093264343)
Recorded as BROCK RULE, PA-C
Physician Assistant (license number reported to NPPES: WA PA60794758)
NPI status registered as active in NPPES database
Registered at 120 W MISSION AVE, SPOKANE, WA 992012358 (Tel: 5093264343)
Registered at 9505 E PEONE RD, MEAD, WA 990219754
Recorded as BROCK RULE, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Spokane
- Christopher Whitcomb
- Kristina Goodman, PA-C
- Lori Tschetter, PA-C
- Dr. Donald Halcrow, DC, PA-C
- Braidon Freeman, PA-C
- Kendra Lemery, PA-C
Mailing Address
120 W Mission Ave
Spokane, WA 992012358
Phone: 5093264343