Byron Hunter Tatsch, NP-C
NPI 1649932948ActiveIndividual· Nurse Practitioner, Gerontology· Spokane Valley, WA
Nurse Practitioner, Gerontology (NP-C) with Pain Care Physicians PLLC, practicing in Spokane Valley, Washington. Their prescriptions cost Medicare Part D more than their services did: $347,411 for 4,128 claims, against $78,213 paid for services in 2024. Boston Scientific Corporation was the largest of 6 companies reporting payments in 2025, $2,815 in all, mostly travel and lodging.
Overview
| NPI | 1649932948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | Yes |
| NPI issued | Oct 13, 2021 |
| Last updated in NPPES | Feb 15, 2023 |
| Certified by provider | Feb 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | AP61202171 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 873 across 24 procedure codes |
| Paid by Medicare | $78,213 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,128 · 4,597 30-day fills |
|---|---|
| Patients | 283 |
| Total drug cost | $347,411 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Pain Care Physicians PLLCOlympia, WA · 12 clinicians
Industry payments (Open Payments)
- 2025$2,815 · 34 payments from 6 companies
- 2024$1,035 · 11 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $1,693 | 17 |
| Saluda Medical Americas, Inc. | $968.20 | 11 |
| Globus Medical, Inc. | $57.65 | 2 |
| Collegium Pharmaceutical, Inc. | $43.60 | 2 |
| Biotronik Nro, Inc. | $30.97 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,534 · 6 payments
- Food and Beverage$1,281 · 28 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records