RYAN BURKE (PA) – Physician Assistant, NPI 1194132860

RYAN BURKE (PA) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-1179 (ID). The NPI Number for RYAN BURKE (PA) is 1194132860

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
RYAN BURKE (PA)
NPI
1194132860
Phone
(208) 378-4288
Address
8971 W OVERLAND RD
Enumeration Date
15 July 2014
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083784288
Graduation Year
2014 (12 years ago)
PAC ID
4880812601
Group Practice PAC ID
3971544685
Professional Enrollment ID
I20140820000603
Address ID
ID837091651BO8971XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,546 PHYSICIAN ASSISTANT in ID

Provider Addresses for RYAN BURKE (PA)

  • 8971 W OVERLAND RD

    BOISE, ID 837091651

    Phone: (208) 378-4288

    Fax: (208) 378-4297

    Type: Location

  • PO BOX 191050

    BOISE, ID 837191050

    Phone: (208) 955-6522

    Fax: (208) 955-6503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $2,162.

Total Amount is formed as General ($2,162) + Research ($0) + Ownership ($0) = $2,162.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($877).

Total Amount

$2,162

General + Research + Ownership

Payments

83

Total payment records

General Amount

$2,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2014-08-20

PECOS data refreshed: 2026-06-15

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
I20140820000603IPhysician AssistantIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes190100$0
36415Insertion of needle into vein for collection of blood sample179118$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
99213Established patient office or other outpatient visit, 20-29 minutes4033$0
G0008Administration of influenza virus vaccine2222$0
View full utilization report →

Insurance plans in this area (ZIP 83709)

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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: 3971544685View full group profile

Reviews

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Frequently asked questions

How do I look up RYAN BURKE (PA) by NPI?
Use NPI 1194132860 when you need to reference RYAN BURKE (PA) in forms, claims, or directories.
Is RYAN BURKE (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RYAN BURKE (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for RYAN BURKE (PA). Clinical services aligned with this taxonomy classification.
Does RYAN BURKE (PA) practice in Idaho?
You will see Boise, Idaho on file for RYAN BURKE (PA) alongside any extra practice locations.
Is RYAN BURKE (PA) a real provider?
This page reflects official NPPES data for NPI 1194132860. Always confirm identity and privileges with the practice and licensing boards.

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