Nathan Jacob Wiens, PA-C
NPI 1316188220ActiveIndividual· Physician Assistant· Spokane, WA
Physician Assistant (PA-C) with T Daniel Dibble MD PC, practicing in Spokane, Washington. Their prescriptions cost Medicare Part D more than their services did: $364,119 for 4,096 claims, against $71,128 paid for services in 2024. Collegium Pharmaceutical, Inc. was the largest of 7 companies reporting payments in 2025, $721.49 in all, mostly food and beverage.
Overview
| NPI | 1316188220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 23, 2009 |
| Last updated in NPPES | Jul 17, 2023 |
| Certified by provider | Jul 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60525567 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 987 across 9 procedure codes |
| Paid by Medicare | $71,128 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,096 · 4,180 30-day fills |
|---|---|
| Patients | 250 |
| Total drug cost | $364,119 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- T Daniel Dibble MD PCSpokane Valley, WA · 12 clinicians
Industry payments (Open Payments)
- 2025$721.49 · 40 payments from 7 companies
- 2024$579.66 · 24 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Collegium Pharmaceutical, Inc. | $159.49 | 13 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $147.19 | 13 |
| Boston Scientific Corporation | $139.13 | 4 |
| Ipsen Biopharmaceuticals, Inc | $123.08 | 4 |
| Globus Medical, Inc. | $87.39 | 3 |
What the 2025 payments were for
- Food and Beverage$721.49 · 40 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Spokane
- 1952277204
- 1396839585
- 1801114129
- 1255246450
- 1811325897
- 1043763253
- 1710460498
- 1629541180
- 1760963698
- 1467438762
- 1134609035
- 1851053052