RYAN LEIGH MACDONALD (PA) – Surgical Physician Assistant, NPI 1518324904

RYAN LEIGH MACDONALD (PA) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA5484 (MA). The NPI Number for RYAN LEIGH MACDONALD (PA) is 1518324904

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
RYAN LEIGH MACDONALD (PA)
NPI
1518324904
Phone
(413) 732-4242
Address
3640 MAIN ST
Enumeration Date
15 January 2016
Last Update Date
15 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8558308346
Graduation Year
2015 (11 years ago)
PAC ID
6305142290
Group Practice PAC ID
2961734611
Professional Enrollment ID
I20160302001013
Address ID
MA017015354FR463XXRDXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for RYAN LEIGH MACDONALD (PA)

  • 3640, Main Street, Chicopee, Hampden County, Massachusetts, 01199, United States

    SUITE 302

    SPRINGFIELD, MA 011071145

    Phone: (413) 732-4242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Tactile Systems Technology Inc ($163).

Total Amount

$304

General + Research + Ownership

Payments

6

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2016-03-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302001013IPhysician AssistantMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01107)

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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: 2961734611View full group profile
NameSpecialtyState
Interventional Radiology, Vascular Surgery, Diagnostic RadiologyCT
General SurgeryMO
General SurgeryNY
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the registry number for RYAN LEIGH MACDONALD (PA)?
The registry entry for RYAN LEIGH MACDONALD (PA) shows NPI 1518324904.
Is RYAN LEIGH MACDONALD (PA) currently accepting referrals based on NPI status?
Registry metadata lists RYAN LEIGH MACDONALD (PA) as active.
How should patients interpret RYAN LEIGH MACDONALD (PA)'s specialty?
The extract shows Surgical Physician Assistant for RYAN LEIGH MACDONALD (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to RYAN LEIGH MACDONALD (PA)?
RYAN LEIGH MACDONALD (PA) is associated with Springfield, Massachusetts in the same public data insurers reference.
Who maintains RYAN LEIGH MACDONALD (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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