Doctor profile · Federal record
Dr. NICOLE HANNIBAL, DO
Family Medicine Physician (CMS: INTERNAL MEDICINE) · Family Medicine Physician · SPOKANE VALLEY, WA
- NPI 1639791718
- Accepts Medicare
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1215 N MCDONALD RD STE 101
SPOKANE VALLEY, WA 992161557
(509) 598-7750 - Mailing address
-
PO BOX 5299, MS: 820-5-PCO
TACOMA, WA 984150299
Credentials & registration
- NPI registered
- May 2020 — 6 yrs on file
- Profile last updated
- July 20, 2023
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Washington #OP61314799 · Washington #OL61073038
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639791718. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
174
Distinct HCPCS
5
Medicare allowed
$22,803
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 75 | 53 | $127 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $124 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | 27 | $272 | |
G0009 |
Administration of pneumococcal vaccine | 27 | 27 | $30 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $90 |
In context: peer comparison
Among 21 peers in this city , average services per provider: 73. This provider delivers 2.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
651
Patients
187
Total drug cost
$9,618
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 118 | 41 | $1,899 |
| Lisinopril | Generic | 67 | 18 | $703 |
| Levothyroxine Sodium | Generic | 56 | 16 | $821 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 50 | 16 | $521 |
| Rosuvastatin Calcium | Generic | 45 | 26 | $990 |
| Losartan Potassium | Generic | 44 | 18 | $644 |
| Gabapentin | Generic | 36 | 11 | $782 |
| Omeprazole | Generic | 35 | 12 | $600 |
| Amlodipine Besylate | Generic | 34 | 16 | $360 |
| Sertraline Hcl | Generic | 34 | 13 | $430 |