RYAN BEADLE (P.A.) – Physician Assistant, NPI 1073525655

RYAN BEADLE (P.A.) is a healthcare provider. based in Venice, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9102079 (FL). The NPI Number for RYAN BEADLE (P.A.) is 1073525655

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RYAN BEADLE (P.A.)
NPI
1073525655
Phone
(941) 493-7400
Address
21550 ANGELA LN
Enumeration Date
12 August 2006
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414937400
Graduation Year
2002 (24 years ago)
PAC ID
9234235334
Group Practice PAC ID
1153390414
Professional Enrollment ID
I20070507000436
Address ID
FL342932017VE21550LNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for RYAN BEADLE (P.A.)

  • 21550 ANGELA LN

    VENICE, FL 342932017

    Phone: (941) 493-7400

    Fax: (941) 493-1940

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $2,693.

Total Amount is formed as General ($2,693) + Research ($0) + Ownership ($0) = $2,693.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($554).

Total Amount

$2,693

General + Research + Ownership

Payments

107

Total payment records

General Amount

$2,693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070507000436IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths4,724692$0
99213Established patient office or other outpatient visit, 20-29 minutes1,348893$0
17000Destruction of precancer skin growth, 1 growth1,314859$0
11102Biopsy of related skin growth, first growth718572$0
17110Destruction of skin growth, 1-14 growths496411$0
View full utilization report →

Insurance plans in this area (ZIP 34293)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153390414View full group profile
NameSpecialtyState
General SurgeryFL
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
-FL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

Where can patients find RYAN BEADLE (P.A.)'s NPI?
You can confirm RYAN BEADLE (P.A.) with NPI 1073525655; it appears in the national provider directory.
Does this profile mean RYAN BEADLE (P.A.) is currently active?
Yes — RYAN BEADLE (P.A.) appears active in the national provider directory.
Does RYAN BEADLE (P.A.) list a primary specialty?
If you are matching referrals, note Physician Assistant for RYAN BEADLE (P.A.). Clinical services aligned with this taxonomy classification.
Where does public data place RYAN BEADLE (P.A.)?
The snapshot lists Venice, Florida for RYAN BEADLE (P.A.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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