RYAN G WILLMORE (PA-C) – Physician Assistant, NPI 1750840138
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for RYAN G WILLMORE (PA-C)
1441, Northeast 10th Avenue, Payette, Payette County, Idaho, 83661, United States
PAYETTE, ID 836615420
Phone: (208) 642-9376
Fax: (208) 642-9598
Type: Mailing
PO BOX 18
SAINT ANTHONY, ID 834450018
Phone: (208) 356-4900
Fax: (208) 624-4112
Type: Mailing
3729 Woodking Dr Ste 1
Idaho Falls, ID 834044720
Phone: (208) 356-4900
Fax: (208) 612-6118
Type: Location
72 S 1st E Ste 101
Rexburg, ID 834401965
Phone: (208) 356-4900
Fax: (208) 356-3724
Type: Location
335 E MAIN ST STE 1
SAINT ANTHONY, ID 834451546
Phone: (208) 356-4900
Fax: (208) 624-4116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $405.
Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Novo Nordisk Inc ($120).
Total Amount
$405
General + Research + Ownership
Payments
23
Total payment records
General Amount
$405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $120 |
| ABBVIE INC. | $53 |
| Lilly USA, LLC | $34 |
| AstraZeneca Pharmaceuticals LP | $32 |
| Exact Sciences Corporation | $24 |
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: 2019-12-05
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 |
|---|---|---|---|---|
| I20191205002529 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 33 | 19 | $0 |
| 82947 | Blood glucose (sugar) level | 19 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 12 | $0 |
| 81002 | Urinalysis, manual test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| General Practice | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Nurse Practitioner | ID |
Reviews
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