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Mara Loris Nydes, MD

NPI 1255824603ActiveIndividual· Family Medicine, Sports Medicine· Spokane, WA

Family Medicine, Sports Medicine (MD) in Spokane, Washington, licensed in WA, ME and MI, with an NPI issued in June 2018. Mostly services rather than prescriptions: Medicare paid $3,975 for 15 patients in 2024, with only 16 Part D claims.

Overview

NPI1255824603
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 11, 2018
Last updated in NPPESApr 26, 2023
Certified by providerApr 26, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine, Sports Medicine Primary207QS0010XMD61384121WA
Pediatrics208000000XMD24560ME
Pediatrics208000000X4301115052MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Sports Medicine (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients15
Services billed195 across 18 procedure codes
Paid by Medicare$3,975

Part D prescriptions in 2024

Prescriptions (claims)16 · 17 30-day fills
Patients13
Total drug cost$117.79
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine, Sports Medicine providers in Spokane

All Family Medicine, Sports Medicine providers in Washington