Dr. Zachary Guss, MD
910 W 5th Ave Ste 102b, Spokane, WA 99204 • +1-846-555-4197
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Spokane Percentiles
NPI #1497195762 • CBSA Regional • Radiation Oncology
Dr. Zachary Guss, MD (NPI #1497195762) practices Radiation Oncology in Spokane, WA (99204) with sub-specialty concentration in 32 Active CMS HCPCS Codes, recording 3,362 annual CMS services across 175 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Spokane percentile) (+0.04σ vs WA state mean, 77.88th statewide percentile).
Granular CPT/HCPCS billing distribution at 910 W 5th Ave Ste 102b shows Dr. Zachary Guss's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 1513x/yr, 50th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 874x/yr, $116–$159).
Uninsured and high-deductible cash patients visiting Dr. Zachary Guss in Spokane (99204) face an estimated $222.00 initial evaluation fee at 910 W 5th Ave Ste 102b (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.68/5 from 13 verified reports).
Clinical background for Dr. Guss (MD, NPI #1497195762) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across WA.
Compared against Spokane, WA Radiation Oncology peers
3,362 annual services across 175 beneficiaries
Standard deviations from WA Radiation Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,513 | 50th | $152 – $208 |
| 99213 | Established Preventive & Chronic Care Visit | 874 | 49th | $116 – $159 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 437 | 55th | $55 – $76 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 336 | 49th | $178 – $244 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 202 | 53th | $211 – $289 |
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Dr. Zachary Guss, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guss National Provider Identifier | NPI #1497195762 (MD) | CMS NPPES Registry (99204) |
| Dr. Guss Spokane CMS Volume Rank | 50.00th Pct (3,362 CMS svcs; Z +0.039σ) | CMS Medicare Part B (WA Radiation Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spokane, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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