RYAN MICHAEL MARLETT – Physician Assistant, NPI 1952058992

RYAN MICHAEL MARLETT is a healthcare provider. based in La salle, Illinois. specializing in PHYSICIAN ASSISTANT. The NPI Number for RYAN MICHAEL MARLETT is 1952058992

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MICHAEL MARLETT
NPI
1952058992
Phone
(815) 488-2030
Address
579 N 29th Rd
Enumeration Date
9 March 2022
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3095337070
Graduation Year
2022 (4 years ago)
PAC ID
8123407038
Group Practice PAC ID
2668821919
Professional Enrollment ID
I20231220002722
Address ID
IL617046343BL3302XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for RYAN MICHAEL MARLETT

  • 579 N 29th Rd

    LA Salle, IL 613019628

    Phone: (815) 488-2030

    Type: Location

  • 110 BUSINESS PARK DR STE C

    BRANSON, MO 656167449

    Phone: (417) 336-0033

    Fax: (855) 710-6552

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,729.

Total Amount is formed as General ($2,729) + Research ($0) + Ownership ($0) = $2,729.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($901).

Total Amount

$2,729

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,729

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

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: 2023-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220623002506IPhysician AssistantMOTBD
I20230424001916IPhysician AssistantFLTBD
I20231004001599IPhysician AssistantLATBD
I20231220002722IPhysician AssistantILTBD

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
17003Destruction of precancer skin growth, 2-14 growths479100$0
99213Established patient office or other outpatient visit, 20-29 minutes171158$0
17000Destruction of precancer skin growth, 1 growth139128$0
99203New patient office or other outpatient visit, 30-44 minutes5151$0
11301Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm3834$0
View full utilization report →

Insurance plans in this area (ZIP 61301)

Loading plans...

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: 2668821919View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyIL
D E R M A T O L O G YIL
P A T H O L O G YIL
Dermatology, Micrographic Dermatologic Surgery (Mds)MO
Physician AssistantIL
Physician AssistantIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm RYAN MICHAEL MARLETT's NPI?
Yes. RYAN MICHAEL MARLETT is listed with NPI 1952058992 in the public NPI dataset.
Is RYAN MICHAEL MARLETT listed as active for patients and plans?
The listing shows RYAN MICHAEL MARLETT as active in the NPI system.
What healthcare role does RYAN MICHAEL MARLETT hold?
Scheduling teams often label RYAN MICHAEL MARLETT under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN MICHAEL MARLETT on a map?
Expect La Salle, Illinois as a primary anchor for RYAN MICHAEL MARLETT unless the record lists multiple sites.
Why does RYAN MICHAEL MARLETT have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

MR. PAUL W JENKINS (PA-C)

Surgical Physician Assistant
Wornall Road, Indian Village, Kansas City, Jackson County, Missouri, 64114, United States
NPI: 1477556215
PO BOX 3988
NPI: 1366445975

MARSHA A WRIGHT (PA-C)

Physician Assistant
Broadway Street, Gillespie, Macoupin County, Illinois, 62033, United States
NPI: 1497759393
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1346244241

Heartland CARES, Inc.

Primary Care Clinic/Center
PO BOX 2875
NPI: 1396749917
Fairfield Memorial Hospital, 303, Northwest 11th Street, Fairfield, Wayne County, Illinois, 62837, United States
NPI: 1629072160

MR. JAMES SCOTT GAGEL (PA)

Physician Assistant
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
NPI: 1073518262

MICHAEL E GILBERT (PA-C)

Physician Assistant
230 Fountain Ct Ste 140
NPI: 1265438550

MS. CYNTHIA ANN BEAR (PA)

Surgical Physician Assistant
2300, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
NPI: 1548266620