RYAN BLAIR KILLPACK (PA-C) – Medical Physician Assistant, NPI 1114405396
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for RYAN BLAIR KILLPACK (PA-C)
Bingham Memorial Hospital, 98, Poplar Street, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211758
Phone: (208) 785-4100
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 21 Open Payments records for all available years, with a total value of $1,050.
Total Amount is formed as General ($1,050) + Research ($0) + Ownership ($0) = $1,050.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($802).
Total Amount
$1,050
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,050
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $802 |
| Novo Nordisk Inc | $179 |
| Lilly USA, LLC | $31 |
| Ethicon US, LLC | $20 |
| Urgo Medical North America, LLC | $18 |
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: 2019-01-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190102002225 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 24 | $0 |
Insurance plans in this area (ZIP 83221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | MO | |
| Physician Assistant | ID | |
| - | ID | |
| Emergency Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | ID | |
| Family Practice | OK | |
| - | WA |
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