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Compare the published Medicare service mix of Spencer Laine Fodczuk, MPAS, PA-C with clinicians in the same registry specialty: Physician Assistant.

PUYALLUP, WA · Exact areaEdit location

2024 published service data · 46 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Andrea Josephine Cachia, PA-C

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (87636)
94%Service-mix similarityView profile →

Jeff Sienkiewicz, PA-C

Physician Assistant · Puyallup, WA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
64%Service-mix similarityView profile →

Shayla Fawcett, PA-C

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
63%Service-mix similarityView profile →

Justin Edward Chapin

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more (99212)
61%Service-mix similarityView profile →

Alina A. Melnyk, PA-C

Physician Assistant · Puyallup, WA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
59%Service-mix similarityView profile →

Dale Allen Nelson, PA-C

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (87636)
59%Service-mix similarityView profile →

Emily Ossian Hall, MPH, PA-C

Physician Assistant · Puyallup, WA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
57%Service-mix similarityView profile →

Tiffany Lynn Brown, PA-C

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
57%Service-mix similarityView profile →

Nathan Aaron De Witt, PA-C

Physician Assistant · Puyallup, WA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
57%Service-mix similarityView profile →

Megan Clarno, PAC

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
53%Service-mix similarityView profile →

Nicholas Portalski, PA-C

Physician Assistant · Puyallup, WA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
51%Service-mix similarityView profile →

Jordan Albano, PA-C

Physician Assistant · Puyallup, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
51%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.