RYAN WILSON (PA) – Physician Assistant, NPI 1174980346
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for RYAN WILSON (PA)
3277 E Louise Dr Ste 100
Meridian, ID 836429360
Phone: (208) 706-7086
Type: Location
Box Social, 3971, North Williams Avenue, Mississippi, Boise, Portland, Metro, Multnomah County, Oregon, 97227, United States
BOISE, ID 837191050
Phone: (208) 955-6500
Fax: (208) 955-6503
Type: Mailing
4815, Cleveland Boulevard, Caldwell, Canyon County, Idaho, 83605, United States
CALDWELL, ID 836056501
Phone: (208) 455-3545
Type: Location
1623 S WELLS AVE
MERIDIAN, ID 836425040
Phone: (208) 489-1450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-06-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($46).
Total Amount
$80
General + Research + Ownership
Payments
4
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $46 |
| Amgen Inc. | $19 |
| Novo Nordisk Inc | $15 |
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: 2016-02-11
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 |
|---|---|---|---|---|
| I20160211000739 | 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 |
|---|---|---|---|---|
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 54 | 29 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 39 | 33 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 21 | 21 | $0 |
| 23350 | Injection of contrast for imaging of shoulder joint | 12 | 12 | $0 |
| 62328 | Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Interventional Radiology | ID | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | WA | |
| Physician Assistant | ID | |
| Diagnostic Radiology | NC | |
| Physician Assistant | ID |
Reviews
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