RYAN ATWOOD (PA-C) – Family Medicine Physician, NPI 1023656782

RYAN ATWOOD (PA-C) is a healthcare provider. based in Payette, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1824 (ID). The NPI Number for RYAN ATWOOD (PA-C) is 1023656782

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
RYAN ATWOOD (PA-C)
NPI
1023656782
Phone
(208) 642-9376
Address
1441 NE 10TH AVE
Enumeration Date
12 December 2019
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083651065
Graduation Year
2019 (7 years ago)
PAC ID
7416388863
Group Practice PAC ID
0547169591
Professional Enrollment ID
I20250703003470
Address ID
ID836173626EM207XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for RYAN ATWOOD (PA-C)

  • 1441 NE 10TH AVE

    PAYETTE, ID 836615420

    Phone: (208) 642-9376

    Fax: (208) 642-9376

    Type: Mailing

  • 707 N ARMSTRONG PL

    BOISE, ID 837040825

    Phone: (208) 375-5211

    Type: Mailing

  • 207 E 12TH ST

    EMMETT, ID 836173626

    Phone: (208) 365-1065

    Fax: (208) 365-1068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,016.

Total Amount is formed as General ($1,016) + Research ($0) + Ownership ($0) = $1,016.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($150).

Total Amount

$1,016

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200529002635IPhysician AssistantIDTBD
I20250703003470IPhysician AssistantORTBD

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
36415Insertion of needle into vein for collection of blood sample3224$0
83036Hemoglobin a1c level2617$0
View full utilization report →

Insurance plans in this area (ZIP 83661)

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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: 0547169591View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerID
Physician AssistantID
-OR
Emergency Medicine, Family PracticeOR
Family PracticeID
Nurse PractitionerID
-ID
-ID
Physician AssistantTX

Reviews

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Frequently asked questions

How is RYAN ATWOOD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists RYAN ATWOOD (PA-C) with NPI 1023656782.
Does the file indicate RYAN ATWOOD (PA-C) is practicing under active NPI?
Directory data currently reports RYAN ATWOOD (PA-C) as active.
What taxonomy line describes RYAN ATWOOD (PA-C)?
For research purposes, treat RYAN ATWOOD (PA-C) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for RYAN ATWOOD (PA-C)?
RYAN ATWOOD (PA-C)'s geographic hint is Payette, Idaho in our summary view.
Why does RYAN ATWOOD (PA-C) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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