WILLIAM JAMES RYAN PA-C
NPI 1891259743
Physician Assistant - Medical in Osceola, WI
NPI Status: Active since January 24, 2019
- Individual
- Male
- Years of Experience 8
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM RYAN
This page provides the complete NPI Profile along with additional information for William Ryan, a primary care provider established in Osceola, Wisconsin with a medical specialization in Physician Assistant, focusing in medical and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1891259743 assigned on January 2019. The practitioner's primary taxonomy code is 363AM0700X with license number 12879 (MN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1891259743
- Provider Name
- WILLIAM JAMES RYAN PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2600 65TH AVE OSCEOLA, WI 54020
- Location Phone
- (715) 294-2111
- Mailing Address
- 207 MYRTLE ST W APT 3 STILLWATER, MN 55082
- Mailing Phone
- (763) 232-7679
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-24-2019
- Last Update Date
- 01-24-2019
- Code Navigator
A primary care provider (PCP) like William Ryan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 12879
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 30% Copay - HMO
- Premier HMO $7,050 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,100 - HMO
- Premier POS $1,500 - 30% - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
William Ryan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Ryan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335480284
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200626000382
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 11 Medicare Claims 24 Services Paid
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0% | 41 |
Breast Cancer Screening | 72% | 210 |
Cervical Cancer Screening | 46% | 287 |
Closing the Referral Loop: Receipt of Specialist Report | 51% | 272 |
Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) | 90% | 20 |
Depression Remission at Twelve Months | 15% | 20 |
Diabetes: Eye Exam | 28% | 132 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 16% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 132 |
Diabetes: Medical Attention for Nephropathy | 70% | 132 |
Documentation of Current Medications in the Medical Record | 100% | 2209 |
Falls: Screening for Future Fall Risk | 2% | 327 |
Pneumococcal Vaccination Status for Older Adults | 61% | 303 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 21% | 1185 |
Preventive Care and Screening: Influenza Immunization | 31% | 1068 |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 49% | 1327 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 27% | 229 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% | 1084 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82% | 1084 |
Use of High-Risk Medications in Older Adults | 11% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 327 |
Use of High-Risk Medications in Older Adults | 3% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 311 |
Use of High-Risk Medications in Older Adults | 10% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 327 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 9 | 1 | 2 | 5 | 9 | 7 | 4 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 18 | 1 | 4 | 5 | 18 | 7 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 8 + 1 + 4 + 5 + 1 + 8 + 7 + 8 + 24 = 77 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 77 = 3 | 3 |
The NPI number 1891259743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1093989899 | LILY GHUMAN RODGERS MD Individual | Family Medicine | 2600 65TH AVE OSCEOLA MEDICAL CENTER OSCEOLA, WI 54020 (715) 294-2111 |
1194986588 | LISA JO WEBER SEDLAK M.S. Individual | Marriage & Family Therapist | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-4752 |
1902103682 | SALLY A WILLIAMSON Individual | Physical Therapist | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1417234014 | ST. CROIX ORTHOPAEDICS, P.A. Organization | Durable Medical Equipment & Medical Supplies | 2600 65TH AVE OSCEOLA, WI 54020 (651) 439-8807 |
1558686485 | ERIKA SUSAN HELGERSON D.O. Individual | Family Medicine | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1093037624 | HR HEARING, LLC Organization | Audiologist-Hearing Aid Fitter | 2600 65TH AVE OSCEOLA, WI 54020 (715) 425-7905 |
1518284439 | NICOLE RAE SMITH M.D. Individual | Family Medicine | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1386022457 | DIANNE MILLER PTA Individual | Physical Therapy Assistant | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-4736 |
1255698924 | JENNIFER ANNE BELISLE Individual | Family Medicine | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1043675614 | CHELSEA O'BRIEN Individual | Dietitian, Registered | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-5698 |
1205212107 | MICHELLE LYNN SCHORN FNP-BC Individual | Nurse Practitioner (Family) | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1811429566 | HEATHER KAYE ROSS COTA Individual | Occupational Therapy Assistant | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-1116 |
1114323086 | NATALIA CROPPER FNP-C Individual | Nurse Practitioner (Family) | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1659746931 | FOREFRONT DERMATOLOGY, S.C. Organization | Dermatology | 2600 65TH AVE OSCEOLA MEDICAL CENTER OSCEOLA, WI 54020 (715) 294-3566 |
1336634377 | DR. MARY ELIZABETH GUSTAFSON PHARM.D. Individual | Pharmacist | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-4050 |
1376029017 | DR. JUSTIN HIMES PHARMD Individual | Pharmacist | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-4050 |
1467560227 | LADD MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1609437607 | ROBERT SEIBERLICH DPT Individual | Physical Therapist | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-3500 |
1477905362 | ROCHELLE MANIK CATHERINE SAMARASEKERA D.O. Individual | Family Medicine | 2600 65TH AVE OSCEOLA, WI 54020 (715) 294-2111 |
1588813778 | OSCEOLA MEDICAL CENTER Organization | Non-Pharmacy Dispensing Site | 2600 65TH AVE OSCEOLA, WI 54020 (952) 653-2528 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891259743, enumerated in the NPI registry as an "individual" on January 24, 2019
The provider is located at 2600 65th Ave Osceola, Wi 54020 and the phone number is (715) 294-2111
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 8 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider obtained a high score in the following performance measures: Breast Cancer Screening, Documentation of Current Medications in the Medical Record , Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
This NPI record was last updated on January 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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