Dr. David J Mikkelsen , MD
Urology โข Spokane, WA
1401 E Trent Ave Ste 200
Spokane, WA 992022902
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 25, 2006; this date does not establish years in practice.
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Published CMS data list 1,746 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:
- 99213 โ Established patient outpatient office visit: 398 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 390 service units.
- J9217 โ Leuprolide acetate (for depot suspension), 7.5 mg: 172 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 22 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,355 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:
- Tamsulosin Hcl โ 522 prescription fills, including refills.
- Finasteride โ 420 prescription fills, including refills.
- Solifenacin Succinate โ 110 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 12 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Urology in Spokane, WA (2024, 11 clinicians with data). Median for this group: 1,638. Middle half: 1,062 to 2,959.
More Medicare Part B services than 70% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: 802. Middle half: 338 to 1,756.
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 3,190 in 2020 to 1,746 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1401 E Trent Ave Ste 200
Spokane, WA 992022902
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
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
549 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 $153,898 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 $108,255 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
3,220 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
$380,986 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 $35.06 in 2025
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 2025.
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.
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, โDoes your provider accept Medicare as full payment?โ
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)
Dr. Mikkelsen 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 Dr. Mikkelsen 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
More Medicare Part B services than 60% of clinicians listed under Urology in Spokane, WA (2024, 11 clinicians with data). Median for this group: 1,638. Middle half: 1,062 to 2,959.
More Medicare Part B services than 70% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: 802. Middle half: 338 to 1,756.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Urology in Spokane, WA (2024, 11 clinicians with data). Median for this group: $157,823. Middle half: $97,059 to $201,357.
A higher Medicare-allowed amount than 70% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: $83,512. Middle half: $34,252 to $154,605.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Urology in Spokane, WA (2024, 11 clinicians with data). Median for this group: $117,263. Middle half: $72,137 to $153,080.
A higher Medicare payment amount than 70% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: $61,217. Middle half: $24,379 to $113,430.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Urology in Spokane, WA (2024, 12 clinicians with data). Median for this group: 941. Middle half: 765 to 1,160.
More Part D prescriptions than 80% of clinicians listed under Urology in Washington (2024, 225 clinicians with data). Median for this group: 732. Middle half: 221 to 1,224.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Urology in Spokane, WA (2024, 12 clinicians with data). Median for this group: $291,069. Middle half: $59,623 to $489,309.
A higher Part D drug cost than 90% of clinicians listed under Urology in Washington (2024, 225 clinicians with data). Median for this group: $40,788. Middle half: $9,435 to $122,211.
20 active clinicians are listed under Urology with a practice address in Spokane, WA (335 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
30% of these 20 clinicians have the CMS telehealth indicator.
50% of these 20 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 45% from 3,190 in 2020 to 1,746 in 2024.
- 2020: 3,190
- 2021: 2,638
- 2022: 5,645
- 2023: 1,855
- 2024: 1,746
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Medicare-allowed amount
Medicare-allowed amount decreased 50% from $309,548 in 2020 to $153,898 in 2024.
- 2020: $309,548
- 2021: $285,961
- 2022: $256,893
- 2023: $216,323
- 2024: $153,898
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Paid by Medicare
Paid by Medicare decreased 54% from $232,868 in 2020 to $108,255 in 2024.
- 2020: $232,868
- 2021: $214,694
- 2022: $190,881
- 2023: $158,434
- 2024: $108,255
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 23% from 1,103 in 2020 to 1,355 in 2024.
- 2020: 1,103
- 2021: 1,191
- 2022: 1,344
- 2023: 1,343
- 2024: 1,355
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30-day fills
30-day fills increased 43% from 2,251 in 2020 to 3,220 in 2024.
- 2020: 2,251
- 2021: 2,697
- 2022: 3,146
- 2023: 3,171
- 2024: 3,220
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Part D drug cost
Part D drug cost increased 563% from $57,440 in 2020 to $380,986 in 2024.
- 2020: $57,440
- 2021: $51,418
- 2022: $392,438
- 2023: $317,183
- 2024: $380,986
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $393.28 in 2021 to $35.06 in 2025.
- 2021: $393.28
- 2022: $413.51
- 2023: $243.62
- 2024: $671.02
- 2025: $35.06
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $35.06.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Education
In-kind items and services
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IMFINZI | General | $35.06 |
Source: CMS Open Payments, program year 2025, 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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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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398 | 323 | $167.00 | $90.81 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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390 | 328 | $45.00 | $16.14 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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172 | 21 | $386.41 | $179.39 |
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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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117 | 117 | $243.00 | $110.31 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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90 | 69 | $513.00 | $240.78 |
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81002
Urinalysis, manual test
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76 | 73 | $33.00 | $3.41 |
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36415
Insertion of needle into vein for collection of blood sample
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66 | 60 | $21.00 | $8.65 |
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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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62 | 56 | $242.00 | $127.60 |
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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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55 | 55 | $348.00 | $160.89 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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52 | 29 | $101.00 | $35.63 |
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G0103
Prostate cancer screening; prostate specific antigen test (psa)
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38 | 38 | $75.00 | $18.92 |
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76872
Ultrasound scan of pelvic region through rectum
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34 | 33 | $160.00 | $31.74 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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32 | 30 | $300.00 | $77.94 |
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51798
Ultrasound measurement of bladder capacity after voiding
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30 | 28 | $50.00 | $11.45 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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29 | 13 | $63.43 | $62.42 |
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55700
Biopsy of prostate gland
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26 | 25 | $350.00 | $126.35 |
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84154
Psa (prostate specific antigen) measurement, free
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17 | 16 | $45.00 | $18.02 |
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50590
Shock wave crushing of kidney stones
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13 | 13 | $1226.92 | $628.21 |
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76872
Ultrasound scan of pelvic region through rectum
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13 | 13 | $243.82 | $139.32 |
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96372
Injection of drug or substance under skin or into muscle
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13 | 13 | $88.00 | $13.45 |
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55700
Biopsy of prostate gland
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12 | 12 | $618.00 | $239.70 |
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52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
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11 | 11 | $492.12 | $319.99 |
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 |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 522 | 44,173 | $10,242.71 | 182 |
| Finasteride | Finasteride | 420 | 34,916 | $6,282.33 | 129 |
| Solifenacin Succinate | Solifenacin Succinate | 110 | 5,999 | $5,272.83 | 34 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 72 | 166 | $316.27 | 67 |
| Levofloxacin | Levofloxacin | 55 | 57 | $97.93 | 51 |
| Myrbetriq | Mirabegron | 43 | 1,548 | $22,977.81 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 38 | 1,439 | $1,326.48 | 14 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 24 | 2,089 | $550.33 | โ |
| Erleada | Apalutamide | 23 | 690 | $333,540.31 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | 281 | $149.10 | 18 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 16 | 146 | $156.60 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 12 | 35 | $73.71 | 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: 2020-09-01NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20100928001650
WA
4082512413
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.
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Urology
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 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)
Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)
NPI status registered as active in NPPES database
Registered at 820S MCCLELLAN ST 118, SPOKANE, WA 992042446 (Tel: 5097473147)
Registered at 820S MCCLELLAN ST 118, SPOKANE, WA 992042446 (Tel: 5097473147)
Recorded as DAVID MIKKELSEN, M.D.
Urology (license number reported to NPPES: WA MD 00027440)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Spokane
- Dr. Evan Carlos, MD
- Dr. Robert Golden, MD
- Dr. Michael Maccini, MD
- Dr. Duncan Sloan, MD
- Dr. Dirk Sypherd, MD
- Dr. Levi Deters, MD
Mailing Address
1401 E Trent Ave Ste 200
Spokane, WA 992022902
Phone: 5097473147