Richard Hotchkiss Bale, MD
NPI 1821100223ActiveIndividual· Family Medicine· Spokane, WA
Family Medicine (MD) in Spokane, Washington, trained at University of Louisville School of Medicine (class of 1969). Their prescriptions cost Medicare Part D more than their services did: $207,278 for 4,363 claims, against $98,379 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 5 companies reporting payments in 2025, $141.22 in all, mostly food and beverage.
Overview
| NPI | 1821100223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Dec 1, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD00011402 | 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 - Family Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 241 |
|---|---|
| Services billed | 1,417 across 21 procedure codes |
| Paid by Medicare | $98,379 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,363 · 8,912 30-day fills |
|---|---|
| Patients | 248 |
| Total drug cost | $207,278 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 1969 |
| Medicare specialty | Family Practice |
Hospital affiliations
- Deaconess Medical CenterSpokane, WA
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
- Providence Holy Family HospitalSpokane, WA
Other facilities
- Horizon HospiceHospice · Spokane, WA
Industry payments (Open Payments)
- 2025$141.22 · 7 payments from 5 companies
- 2024$337.10 · 12 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $45.29 | 2 |
| Novo Nordisk Inc | $40.44 | 2 |
| Phathom Pharmaceuticals, Inc. | $19.49 | 1 |
| Biogen, Inc. | $19.17 | 1 |
| Exact Sciences Corporation | $16.83 | 1 |
What the 2025 payments were for
- Food and Beverage$141.22 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 334 family medicine physicians in Spokane · All family medicine physicians in Washington