Doctor profile · Federal record
Dr. Praveen Mambalam, M.D.
Pain Medicine (Anesthesiology) Physician (CMS: Anesthesiology) · Edmonds, WA
- NPI 1790942886
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
21616 76Th Ave W, Ste 102
Edmonds, WA 980267512
(425) 774-1538
fax (425) 744-1527 - Additional location
-
155 Lilly RD Ne Ste B
Olympia, WA 985065028
(206) 538-6300
fax (206) 538-6301 - Mailing address
-
Po Box 827
Bellevue, WA 980090827
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- May 23, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207LP2900X — NUCC code
- State license (1)
- Washington #MD 00049423
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790942886. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
977
Distinct HCPCS
10
Medicare allowed
$125,628
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 371 | 127 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 166 | 70 | $88 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 75 | 49 | $12 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $166 | |
63650 |
Insertion of spinal neurostimulator electrode array through skin | 47 | 16 | $335 | |
64490 |
Injection of upper or middle spine facet joint using imaging guidance, single level | 27 | 16 | $137 | |
95972 |
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming | 27 | 21 | $43 | |
64491 |
Injection of upper or middle spine facet joint using imaging guidance, second level | 22 | 13 | $78 | |
64635 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 21 | 16 | $209 | |
64636 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 20 | 16 | $62 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 48. This provider delivers 20× the peer median.Open Payments
Industry payments received
All-time total
$2,647
Transactions
39
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| SI-BONE, INC. | 6 | $948.68 | |
| Nalu Medical, Inc. | 8 | $665.35 | |
| Nevro Corp. | 3 | $302.00 | |
| Medtronic, Inc. | 4 | $233.79 | |
| PAINTEQ LLC | 6 | $220.97 | |
| Abbott Laboratories | 4 | $104.11 | |
| Curonix LLC | 2 | $44.36 | |
| Averitas Pharma Inc. | 2 | $39.56 | |
| Vertos Medical, Inc. | 1 | $26.45 | |
| Collegium Pharmaceutical, Inc. | 1 | $23.63 | |
| Boston Scientific Corporation | 1 | $21.74 | |
| Virtus Pharmaceuticals LLC | 1 | $16.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
619
Patients
95
Total drug cost
$67,348
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 129 | 33 | $1,913 |
| Oxycodone Hcl | Generic | 86 | 20 | $997 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 78 | 15 | $771 |
| Buprenorphine | Generic | 67 | 15 | $22,454 |
| Belbuca (Buprenorphine Hcl) | Brand | 55 | 0 | $35,677 |
| Gabapentin | Generic | 34 | 0 | $338 |
| Pregabalin | Generic | 34 | 0 | $387 |
| Tizanidine Hcl | Generic | 25 | 0 | $157 |
| Cyclobenzaprine Hcl | Generic | 23 | 0 | $153 |
| Tramadol Hcl | Generic | 21 | 0 | $100 |
Frequently asked questions
What is Dr. Praveen Mambalam's medical specialty?
Dr. Praveen Mambalam practices Pain Medicine (Anesthesiology) Physician in Edmonds, WA.
Where does Dr. Praveen Mambalam practice?
Dr. Praveen Mambalam practices at 21616 76Th Ave W, Edmonds, WA 980267512. Office phone: 4257741538.
What is Dr. Praveen Mambalam's NPI?
Dr. Praveen Mambalam's National Provider Identifier (NPI) is 1790942886, issued by NPPES.
Does Dr. Praveen Mambalam accept Medicare assignment?
Yes. Dr. Praveen Mambalam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Praveen Mambalam commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older) (HCPCS 99152). Source: CMS Medicare Physician & Other Practitioners file.