DR. RYAN MICHAEL WELLS (PHARM.D., M.D.) – Dermatology Physician, NPI 1710997200
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
559 INTERNAL MEDICINE in ID
Provider Addresses for DR. RYAN MICHAEL WELLS (PHARM.D., M.D.)
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Mailing
895 N 6th E
Mountain Home, ID 836472207
Phone: (208) 587-8401
Type: Location
7733 W EMERALD ST
BOISE, ID 837049020
Phone: (208) 376-4265
Type: Mailing
Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
MMC 98
MINNEAPOLIS, MN 554550341
Phone: (612) 624-9964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $822.
Total Amount is formed as General ($822) + Research ($0) + Ownership ($0) = $822.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($176).
Total Amount
$822
General + Research + Ownership
Payments
34
Total payment records
General Amount
$822
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-09-06
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 |
|---|---|---|---|---|
| I20210906000015 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 165 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 46 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 37 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27 | 18 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | MN | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID |
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