Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Raymond S. Lance , MD

Urology โ€ข Spokane, WA

Active NPI 1710930607 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1401 E Trent Ave Ste 200
Spokane, WA 992022902

Call 5097473147 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Telephone 5097473147
Fax 5097470020
Organization at the Same NPPES Address or Phone
Spokane Urology Pllc Facility NPI 1912015439

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Spokane Urology Pllc. 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

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1991

Medicare patients

630 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $390,311 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.

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 $297,527 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

3,274 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

$3,573,473 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 2025

All general payments: $25,919.97 across 102 records.

By nature of payment (3 largest of 5)

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $18,731.25 across 6 records.
  • Travel and Lodging: $2,586.98 across 7 records.
  • Food and Beverage: $2,521.75 across 85 records.

Reporting-company totals (3 largest of 24)

  • Janssen Pharmaceuticals, Inc: $22,213.15 across 34 records.
  • Bayer Healthcare Pharmaceuticals Inc.: $1,970.53 across 4 records.
  • Astellas Pharma US Inc: $462.29 across 12 records.

Research and ownership records are not included in these totals; they are in the table below.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

35 years (graduated 1991)

CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional 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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Lance 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Lance 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.

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.

Guide: What ordering and referring status means

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 95% 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 90% 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 higher Medicare-allowed amount than 95% 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 95% 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 higher Medicare payment amount than 95% 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 95% 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 95% 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 95% 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 95% 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 95% 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.

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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 103 records totaling $26,323.76.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $4,162.50
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $4,162.50
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $4,162.50
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $3,607.50
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $2,081.25
Bayer Healthcare Pharmaceuticals Inc.
Consulting Fee
Cash or cash equivalent
Nubeqa General $1,816.00
Janssen Pharmaceuticals, Inc
Travel and Lodging
In-kind items and services
RYBREVANT General $629.77
Janssen Pharmaceuticals, Inc
Travel and Lodging
Cash or cash equivalent
RYBREVANT General $564.90
Janssen Pharmaceuticals, Inc
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
RYBREVANT General $555.00
Janssen Pharmaceuticals, Inc
Travel and Lodging
In-kind items and services
RYBREVANT General $432.72
Dendreon Pharmaceuticals LLC
General
Cash or cash equivalent
PROVENGE Research $403.79
Janssen Pharmaceuticals, Inc
Travel and Lodging
In-kind items and services
RYBREVANT General $387.89
Janssen Pharmaceuticals, Inc
Travel and Lodging
In-kind items and services
RYBREVANT General $317.43
Janssen Pharmaceuticals, Inc
Travel and Lodging
In-kind items and services
RYBREVANT General $248.77
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $156.13
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
RYBREVANT General $125.00
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
RYBREVANT General $124.99
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
RYBREVANT General $120.24
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $102.19
Astellas Pharma US Inc
Education
In-kind items and services
โ€” General $99.99
Astellas Pharma US Inc
Education
In-kind items and services
โ€” General $96.00
BLUEWIND MEDICAL
Food and Beverage
In-kind items and services
REVI General $81.54
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $78.50
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $78.32
Astellas Pharma US Inc
Education
In-kind items and services
โ€” General $68.00

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
J0897 Injection, denosumab, 1 mg
2,340 13 $33.20 $25.76
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
747 466 $45.00 $16.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
407 286 $242.00 $126.61
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
384 273 $167.00 $90.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
172 24 $385.70 $174.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
143 143 $348.00 $163.99
36415 Insertion of needle into vein for collection of blood sample
140 119 $21.00 $8.59
J3315 Injection, triptorelin pamoate, 3.75 mg
117 20 $1116.94 $445.52
81002 Urinalysis, manual test
109 93 $33.00 $3.38
76872 Ultrasound scan of pelvic region through rectum
93 91 $160.00 $31.39
52000 Diagnostic exam of bladder and urethra using an endoscope
83 67 $513.00 $236.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
71 25 $63.43 $62.43
55706 Needle biopsy of prostate gland using image guidance
69 69 $825.00 $361.24
96372 Injection of drug or substance under skin or into muscle
67 53 $88.00 $14.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
65 38 $101.00 $35.19
J3260 Injection, tobramycin sulfate, up to 80 mg
53 18 $8.15 $2.57
74420 Imaging of urinary tract following injection of a contrast agent
52 37 $54.00 $23.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)
50 50 $75.00 $18.92
J1580 Injection, garamycin, gentamicin, up to 80 mg
43 15 $5.16 $2.44
76872 Ultrasound scan of pelvic region through rectum
38 38 $243.82 $136.18
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
37 21 $48.69 $47.91
52332 Insertion of stent in ureter using an endoscope
31 21 $425.81 $139.56
55700 Biopsy of prostate gland
31 31 $618.00 $236.68
51798 Ultrasound measurement of bladder capacity after voiding
29 27 $50.00 $11.50
52000 Diagnostic exam of bladder and urethra using an endoscope
29 27 $300.00 $76.55

(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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Finasteride Finasteride 517 28,084 $4,324.76 124
Tamsulosin Hcl Tamsulosin Hcl 374 19,145 $3,568.07 106
Orgovyx Relugolix 242 7,256 $632,241.46 39
Tramadol Hcl Tramadol Hcl 146 452 $241.29 123
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 146 2,364 $833.70 112
Nubeqa Darolutamide 120 3,780 $1,671,028.82 16
Levofloxacin Levofloxacin 111 633 $385.83 101
Silodosin Silodosin 105 4,110 $7,040.94 23
Erleada Apalutamide 58 1,740 $842,306.11 12
Bicalutamide Bicalutamide 56 3,360 $1,677.37 16
Imipramine Hcl Imipramine Hcl 53 1,770 $818.43 13
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 51 191 $312.88 44
Alfuzosin Hcl Er Alfuzosin Hcl 42 2,061 $596.25 14
Abiraterone Acetate Abiraterone Acetate 39 1,350 $40,214.00 โ€”
Potassium Citrate Er Potassium Citrate 38 1,410 $3,419.90 โ€”
Oxybutynin Chloride Oxybutynin Chloride 28 930 $294.81 13
Prednisone Prednisone 27 930 $118.60 โ€”
Xtandi Enzalutamide 25 750 $335,352.83 โ€”
Gemtesa Vibegron 25 870 $14,083.72 โ€”
Tolterodine Tartrate Er Tolterodine Tartrate 23 1,172 $859.37 โ€”
Medroxyprogesterone Acetate Medroxyprogesterone Acetate 22 1,185 $1,730.83 11
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 17 836 $841.78 13
Myrbetriq Mirabegron 16 690 $10,016.26 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 15 43 $77.75 14
Dutasteride Dutasteride 14 728 $179.73 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: 2020-09-01
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES WA MD00039663

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.

Urology

NUCC Taxonomy Code: 208800000X

License # reported to NPPES VA 0101240091

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
010285976 (VA)
Medicaid ID
MD4546 (AK)
Other Identifier Bc/bs
201665 (VA)
Other Identifier Sentara
10010603 (VA)
Other Identifier Anthem
1710930607 (VA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20141215002564

Enrollment State Jurisdiction

WA

PECOS Control ID

4880610609

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Spokane Urology Pllc

1401 E Trent Ave, Spokane, WA 992022902

Phone: 5097473147

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
NPI 1497863096

Doctor of Medicine (M.D.)

Susan Cain , ARNP

Nurse Practitioner

NPI 1033227863

Advanced Registered Nurse Practitioner

NPI 1063807477

Doctor of Medicine (M.D.)

NPI 1942427471

Doctor of Medicine (M.D.)

Rachel Galazka , FNP

Nurse Practitioner - Family

NPI 1730531021

Family Nurse Practitioner

Jessica Lucero , PA

Physician Assistant

NPI 1982217089

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Urology (license number reported to NPPES: VA 0101240091)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Urology (license number reported to NPPES: WA MD00039663)

๐Ÿ“
Updated Practice Location February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

๐Ÿ“
Updated Business Mailing Address February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Urology (license number reported to NPPES: VA 0101240091)

โœ…
NPI Profile Active November 14, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 14, 2014

Registered at 820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 992042457 (Tel: 5097473147)

๐Ÿ“
Business Mailing Address (Initial Record) November 14, 2014

Registered at 820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 992042457 (Tel: 5097473147)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 14, 2014

Recorded as RAYMOND LANCE, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2014

Urology (license number reported to NPPES: WA MD00039663)

๐ŸŸข
Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1710930607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: November 27, 2023
Sole Proprietor: No

Other Urology Specialists in Spokane

All Urology Specialists in Spokane

Mailing Address

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Phone: 5097473147

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.