RYAN NIEHAUS (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1235396045
Sports Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
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Provider Addresses for RYAN NIEHAUS (D.O.)
PO BOX 1329
BLOOMINGTON, IN 474021329
Phone: (812) 353-3087
Fax: (812) 353-5859
Type: Mailing
995, South Clarizz Boulevard, Hoosier Acres, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474015588
Phone: (812) 353-3060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-06-28
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 |
|---|---|---|---|---|
| I20120628000403 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 373 | 256 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 220 | 30 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 161 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 108 | $0 |
| G0008 | Administration of influenza virus vaccine | 53 | 53 | $0 |
Insurance plans in this area (ZIP 47402)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 83036 | Hemoglobin A1C level | 30 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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