James Nathan Sledge , PA-C
Physician Assistant โข Spokane, WA
546 N Jefferson Ln Ste 200
Spokane, WA 992017104
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 May 1, 2006; this date does not establish years in practice.
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Published CMS data list 236 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: 94 service units.
- 99213 โ Established patient outpatient office visit: 49 service units.
- G0008 โ Administration of influenza virus vaccine: 19 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 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,370 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:
- Atorvastatin Calcium โ 180 prescription fills, including refills.
- Losartan Potassium โ 159 prescription fills, including refills.
- Omeprazole โ 105 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 65 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
Close to the middle for Medicare Part B services among 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 403 in 2020 to 236 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
546 N Jefferson Ln Ste 200
Spokane, WA 992017104
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: Kaiser Foundation Health Plan Of Washington. 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
1998
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
101 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 $21,181 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 $16,421 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
5,734 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
$85,256 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 $69.76 in 2024
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 2024.
Years since graduation
28 years (graduated 1998)
CMS Doctors and Clinicians data list 1998 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
2006
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)
James Sledge 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 James Sledge 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
Close to the middle for clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
Close to the middle for 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
Close to the middle for 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.
Close to the middle for 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
Close to the middle for 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.
Close to the middle for 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 85% 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 90% 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 65% of 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.
A higher Part D drug cost than 75% of 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 decreased 41% from 403 in 2020 to 236 in 2024.
- 2020: 403
- 2021: 496
- 2022: 233
- 2023: 243
- 2024: 236
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Medicare-allowed amount
Medicare-allowed amount decreased 16% from $25,265 in 2020 to $21,181 in 2024.
- 2020: $25,265
- 2021: $25,161
- 2022: $18,518
- 2023: $20,083
- 2024: $21,181
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Paid by Medicare
Paid by Medicare varied from year to year: $16,278 in 2020 and $16,421 in 2024.
- 2020: $16,278
- 2021: $18,684
- 2022: $13,319
- 2023: $14,291
- 2024: $16,421
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 25% from 1,900 in 2020 to 2,370 in 2024.
- 2020: 1,900
- 2021: 1,883
- 2022: 1,584
- 2023: 1,922
- 2024: 2,370
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30-day fills
30-day fills increased 48% from 3,875 in 2020 to 5,734 in 2024.
- 2020: 3,875
- 2021: 4,085
- 2022: 3,605
- 2023: 4,494
- 2024: 5,734
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Part D drug cost
Part D drug cost varied from year to year: $78,875 in 2020 and $85,256 in 2024.
- 2020: $78,875
- 2021: $87,486
- 2022: $56,066
- 2023: $79,078
- 2024: $85,256
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $69.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Genentech, Inc. |
Food and Beverage
In-kind items and services
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Xolair | General | $69.76 |
Source: CMS Open Payments, program year 2024, 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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94 | 53 | $298.66 | $106.95 |
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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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49 | 43 | $298.66 | $75.46 |
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G0008
Administration of influenza virus vaccine
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19 | 19 | $109.69 | $32.37 |
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90662
Influenza vaccine split virus, preservative free
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17 | 17 | $88.00 | $81.82 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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16 | 15 | $128.21 | $76.87 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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15 | 15 | $586.75 | $109.79 |
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90480
Admn sarscov2 vacc 1 dose
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13 | 13 | $145.21 | $43.16 |
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91320
Sarscv2 vac 30mcg trs-suc im
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13 | 13 | $414.59 | $152.78 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 180 | 16,080 | $2,256.86 | 58 |
| Losartan Potassium | Losartan Potassium | 159 | 14,250 | $1,713.59 | 51 |
| Omeprazole | Omeprazole | 105 | 6,637 | $1,348.29 | 28 |
| Lisinopril | Lisinopril | 101 | 8,538 | $1,088.46 | 32 |
| Amlodipine Besylate | Amlodipine Besylate | 97 | 8,670 | $883.06 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 93 | 8,370 | $1,009.57 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 90 | 7,612 | $1,311.43 | 30 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 82 | 2,005 | $2,329.28 | 22 |
| Trazodone Hcl | Trazodone Hcl | 70 | 4,679 | $1,303.86 | 21 |
| Gabapentin | Gabapentin | 67 | 4,330 | $1,418.51 | 19 |
| Pantoprazole Sodium | Pantoprazole Sodium | 66 | 3,960 | $726.89 | 19 |
| Metformin Hcl Er | Metformin Hcl | 66 | 5,676 | $787.73 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 59 | 4,243 | $911.19 | 16 |
| Meloxicam | Meloxicam | 57 | 4,281 | $453.58 | 34 |
| Hydrochlorothiazide | Hydrochlorothiazide | 51 | 4,590 | $488.54 | 20 |
| Sertraline Hcl | Sertraline Hcl | 42 | 3,265 | $585.71 | 15 |
| Tamsulosin Hcl | Tamsulosin Hcl | 42 | 3,333 | $617.73 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 39 | 3,003 | $664.33 | 14 |
| Bupropion Xl | Bupropion Hcl | 34 | 2,613 | $832.69 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 33 | 688 | $638.51 | 17 |
| Jardiance | Empagliflozin | 32 | 2,100 | $12,852.57 | 11 |
| Alendronate Sodium | Alendronate Sodium | 29 | 2,436 | $242.12 | โ |
| Furosemide | Furosemide | 29 | 1,469 | $214.01 | โ |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 29 | 2,147 | $509.58 | โ |
| Simvastatin | Simvastatin | 28 | 2,520 | $299.13 | โ |
(top 25 shown)
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: 2021-05-05NUCC 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
I20050118000133
WA
8729037734
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
Kaiser Foundation Health Plan Of Washington
14402 E Sprague Ave, Spokane Valley, WA 992162167
Phone: 5099222625
Kaiser Foundation Health Plan Of Washington
322 W N River Dr, Spokane, WA 992013208
Phone: 5093246464
Kaiser Foundation Health Plan Of Washington
9505 S Steele St, Tacoma, WA 984441858
Phone: 2535976800
Kaiser Foundation Health Plan Of Washington
4102 S Regal St, Spokane, WA 992235083
Phone: 5095352277
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 Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 546 N JEFFERSON LN STE 200, SPOKANE, WA 992017104 (Tel: 5096253700)
Registered at 546 N JEFFERSON LN STE 200, SPOKANE, WA 992017104 (Tel: 5096253700)
Registered at 3010 S SOUTHEAST BLVD STE A, SPOKANE, WA 992233540 (Tel: 5096253600)
Registered at 3010 S SOUTHEAST BLVD, SPOKANE, WA 992233541 (Tel: 5096253600)
NPI status registered as active in NPPES database
Registered at PO BOX 3867, SPOKANE, WA 992203867 (Tel: 5096886700)
Registered at 122 W 7TH AVE, STE 450, SPOKANE, WA 99204 (Tel: 5098382960)
Recorded as JAMES SLEDGE, PAC
Physician Assistant (license number reported to NPPES: WA PA10004780)
NPI status registered as active in NPPES database
Registered at 122 W 7TH AVE, STE 450, SPOKANE, WA 99204 (Tel: 5098382960)
Registered at 122 W 7TH AVE, STE 450, SPOKANE, WA 99204 (Tel: 5098382960)
Recorded as JAMES SLEDGE, PAC
Physician Assistant (license number reported to NPPES: WA PA10004780)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Spokane
- Dr. Donald Halcrow, DC, PA-C
- Charles Houchin, PA-C
- Brian Nibler, PA-C
- Miranda Detore, PA-C
- Tareyn Gossler-Green, PA
- Tod Fleming, PA-C
Mailing Address
546 N Jefferson Ln Ste 200
Spokane, WA 992017104
Phone: 5096253700