Dr. Dashiel Wham, NP
What this data tells you about Dr. Wham
Dr. Dashiel Wham is a nurse practitioner - family in Liberty Lake, WA, with 6 years of NPI registration. Based on federal Medicare data, Dr. Wham performed 18,467 Medicare services across 673 unique beneficiaries.
Between the years covered by Open Payments, Dr. Wham received a total of $16 from 1 pharmaceutical and/or device company across 1 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Wham is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Allergen extract preparation and provision A professional service involving the preparation and provision of a single-dose vial of allergen extract. |
5,600 | $10 | $46 |
| Joint lubricant injection (GenVisc) An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
2,451 | $5 | $50 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
1,666 | $19 | $75 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
1,368 | $2 | $11 |
| Pyridoxine HCl injection, 100 mg An injection of pyridoxine hydrochloride, a form of vitamin B6, administered at a dose of 100 mg. |
1,078 | $5 | $20 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
831 | $6 | $35 |
| Levocarnitine injection, per 1 gm An injection of levocarnitine administered in 1-gram increments. |
760 | $20 | $25 |
| Injection, thiamine hcl, 100 mg | 728 | $2 | $5 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
720 | $9 | $70 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
440 | $9 | $42 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
399 | $9 | $40 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
379 | $38 | $110 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
333 | $18 | $65 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
318 | $12 | $45 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
286 | $55 | $150 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
205 | $12 | $60 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
205 | $2 | $20 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
203 | $12 | $231 |
| Refilling and maintenance of portable pump This service involves refilling and performing maintenance on a portable pump. |
174 | $75 | $260 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
173 | $1 | $3 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
94 | $39 | $130 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
43 | $65 | $200 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
13 | $80 | $220 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
7.4 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Wham is a mixed practice specialist, with above-average Medicare volume (top 0% in WA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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