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Home > WA Providers > Vascular Surgeons

Mr. Michael B. Foster, PAC

Accepting New Patients

(Mr. Michael Bruce Foster, PAC)

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Specializes in: Vascular Surgery

Professional interests include: arterial thrombosis, embolectomy, peripheral vascular disease, and more.

62 W 7TH AVENUE SUITE 420
SPOKANE, WA 99204

(509) 626-9440

Mr. Michael B. Foster, PAC is in SPOKANE, WA specializing in vascular surgery. Mr. Michael B. Foster, PAC is affiliated with Providence.

Office Locations

62 W 7TH AVENUE SUITE 420
SPOKANE, WA 99204

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Some issues Mr. Michael B. Foster, PAC can help you with:

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Peripheral Bypass Surgery

Peripheral bypass surgery is a procedure that reroutes blood flow around a blockage in the arteries of the arms or legs. Atherosclerosis, or plaque buildup, can affect these arteries in a condition called peripheral artery disease or PAD. A thick, waxy substance composed of cholesterol and minerals builds up within the blood vessels, and in severe cases it can clog arteries. Without enough blood getting to the muscles, patients can experience weakness and pain. Peripheral bypass surgery opens up a new pathway for blood to flow where it is needed. Sometimes peripheral bypass surgery is used when arteries are damaged, for instance, by a severe injury. While it can be performed in the arms, it is most commonly done in the calf, knee, thigh, or hip.

During surgery, the blockage is identified, and an incision is made to expose the artery. The surgeon prepares a tube, called a graft, to be used as the bypass. Sometimes this tube is synthetic, and sometimes a piece of the patient's own vein or artery is used. The ends of the bypass graft are attached to the artery above and below the blockage. Now blood can simply flow around and continue on its way.

After a peripheral bypass, patients may need to spend a couple of days in the hospital while doctors make sure the bypass is working and not leaking. If the bypass was done in the leg, doctors may check the pulse in the feet to make sure blood is flowing well. Patients may experience some swelling in the area where they had surgery. Raising an arm or leg will help. Patients will likely be back to normal activities within 2-3 weeks.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2012 were lab tests.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

lab tests	15

Medicare Procedure and Patient Information

2014 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Ethnicity**
Non-Hispanic White	12
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2015 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	101
hospital care	12
inpatient care	12

2015 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	140
Female	114

**Age**
From 65 to 74	110
From 75 to 84	82
85 and over	30
Less than 65	32

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2015

Hypertension	75
High Cholesterol	69
Stroke	12
Ischemic Heart Disease	62
Depression	34
Chronic Kidney Disease	36
Asthma	14
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	28
Chronic Obstructive Pulmonary Disease	29
Diabetes	40
Dementia	10
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2016 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	54
hospital care	14
inpatient care	14

2016 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	45
Female	35

**Age**
From 65 to 74	31
From 75 to 84	28
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2016

Hypertension	75
High Cholesterol	75
Stroke	18
Ischemic Heart Disease	59
Depression	21
Chronic Kidney Disease	59
Asthma	35
Osteoperosis	0
Atrial Fibrilation	16
Heart Failure	36
Chronic Obstructive Pulmonary Disease	35
Diabetes	54
Dementia	0
Cancer	14

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2017 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	192
hospital care	25
inpatient care	25

2017 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	131
Female	92

**Ethnicity**
Non-Hispanic White	204
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	80
85 and over	21
Less than 65	40

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2017

Hypertension	75
High Cholesterol	66
Stroke	12
Ischemic Heart Disease	55
Depression	22
Chronic Kidney Disease	55
Asthma	0
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	36
Chronic Obstructive Pulmonary Disease	33
Diabetes	47
Dementia	12
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2018 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	249
hospital care	68
inpatient care	68

2018 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	177
Female	131

**Ethnicity**
Non-Hispanic White	278
Black	0
Hispanic	0
Asian	0
Other	0
Native American	11

**Age**
From 65 to 74	132
From 75 to 84	98
85 and over	36
Less than 65	42

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2018

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	52
Depression	24
Chronic Kidney Disease	54
Asthma	4
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	32
Chronic Obstructive Pulmonary Disease	25
Diabetes	45
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2019 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	200
hospital care	67
inpatient care	67

2019 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	158
Female	101

**Ethnicity**
Non-Hispanic White	237
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	111
From 75 to 84	88
85 and over	24
Less than 65	36

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2019

Hypertension	75
High Cholesterol	66
Stroke	14
Ischemic Heart Disease	58
Depression	20
Chronic Kidney Disease	59
Asthma	6
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	37
Chronic Obstructive Pulmonary Disease	32
Diabetes	52
Dementia	8
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	127
hospital care	57
inpatient care	57

2020 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	121
Female	66

**Ethnicity**
Non-Hispanic White	170
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	74
85 and over	15
Less than 65	20

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2020

Hypertension	75
High Cholesterol	66
Stroke	13
Ischemic Heart Disease	59
Depression	20
Chronic Kidney Disease	58
Asthma	7
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	37
Chronic Obstructive Pulmonary Disease	28
Diabetes	42
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2021 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	149
hospital care	44
inpatient care	44

2021 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	112
Female	77

**Ethnicity**
Non-Hispanic White	171
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	82
85 and over	25
Less than 65	30

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2021

Hypertension	75
High Cholesterol	67
Stroke	15
Ischemic Heart Disease	61
Depression	26
Chronic Kidney Disease	65
Asthma	8
Osteoperosis	10
Atrial Fibrilation	19
Heart Failure	44
Chronic Obstructive Pulmonary Disease	28
Diabetes	43
Dementia	16
Cancer	7

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA during 2022 were hospital care and inpatient care.

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

doctor visit	87
hospital care	43
inpatient care	43

2022 Medicare Patient Data

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	72
Female	50

**Age**
From 65 to 74	46
From 75 to 84	47
85 and over	16
Less than 65	13

Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC in 2022

Hypertension	75
High Cholesterol	75
Stroke	24
Ischemic Heart Disease	51
Depression	23
Chronic Kidney Disease	46
Asthma	0
Osteoperosis	15
Atrial Fibrilation	37
Heart Failure	39
Chronic Obstructive Pulmonary Disease	33
Diabetes	46
Dementia	10
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Mr. Michael B. Foster, PAC for Medicare patients.

The highest averages for the top procedures that Mr. Michael B. Foster, PAC treated as in SPOKANE, WA were hospital care, inpatient care and lab tests.

doctor visit	144
hospital care	41
inpatient care	41
lab tests	15

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Mr. Michael B. Foster, PAC.

**Gender**
Male	95
Female	66

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	107
Native American / Alaskan Native	1
Hispanic	0
Other	0

**Age**
75 to 84	57
85 and over	16
Less than 65	21
65 to 74	64

Average of Total of Conditions of Medicare patients treated by Mr. Michael B. Foster, PAC From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Mr. Michael B. Foster, PAC treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	54
Stroke	10
Ischemic Heart Disease	45
Depression	19
Chronic Kidney Disease	43
Asthma	7
Osteoporosis	6
Heart Failure	28
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Atrial Fibrillation	14
Cancer	8
Dementia	7

Education & Training

He is certified by the Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant and has a state license in Idaho.

Board Certification: Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant

Licensed In: Idaho

Affiliations & Hospitals

Mr. Michael B. Foster, PAC is associated with these hospitals and organizations:

Providence

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Mr. Michael B. Foster, PAC appears to accept the following insurance providers: Aetna PPO, Humana PPO, CIGNA PPO, Wellcare Medicare (HMO), Medicare Advantage, Interplan PPO, TriWest, United Healthcare, TRICARE, Medicaid, Regence Blue Shield, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), Providence, Humana HMO, First Health, Kaiser Permanente, Molina Healthcare, Aetna Medicare PPO, Asuris Northwest Health PPO, Naphcare, Pacific Source Health PPO, Stevens County SheriffS Office, State of Washington Department of Corrections, Premera, Ferry County Jail, Evernorth PPO, Blue Cross of Idaho Health Service PPO, First Choice PPO, Regence BlueShield of Washington PPO and Interwest Health PPO.

Insurance Accepted by Provider includes:

According to our sources, Mr. Michael B. Foster, PAC accepts the following insurance providers:

Aetna PPO

Humana PPO

CIGNA PPO

Wellcare Medicare (HMO)

Medicare Advantage

Interplan PPO

TriWest

United Healthcare

TRICARE

Medicaid

Regence Blue Shield

Humana

Cigna

United Healthcare Medicaid

OptumHealth Behavioral Solutions (United Behavioral Health)

Providence

Humana HMO

First Health

Kaiser Permanente

Molina Healthcare

Aetna Medicare PPO

Asuris Northwest Health PPO

Naphcare

Pacific Source Health PPO

Stevens County SheriffS Office

State of Washington Department of Corrections

Premera

Ferry County Jail

Evernorth PPO

Blue Cross of Idaho Health Service PPO

First Choice PPO

Regence BlueShield of Washington PPO

Interwest Health PPO

Ratings & Reviews

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General Payments

These charts describe general payments received by Mr. Michael B. Foster, PAC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Janssen Pharmaceuticals, Inc	$24 XARELTO $24

**Types of Payments**
Food and Beverage	$24

Biography

Mr. Michael Foster's area of specialization is vascular surgery. Areas of expertise for Mr. Foster include thoracic outlet syndrome, portal hypertension, and iliac artery aneurysm. He is professionally affiliated with Providence. He takes Blue California, HealthSmart, and Coventry, in addition to other insurance carriers. Doctor.com reports that Mr. Foster is accepting new patients at his office in SPOKANE, WA.