MR. RYAN EDWARD STROM (PA-C) – Medical Physician Assistant, NPI 1114335973
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MR. RYAN EDWARD STROM (PA-C)
102 N ADELAIDE ST
FENTON, MI 484302663
Phone: (810) 629-2245
Fax: (810) 593-1029
Type: Mailing
6333 S EAST ST
INDIANAPOLIS, IN 462277107
Phone: (800) 526-9252
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $1,815.
Total Amount is formed as General ($1,815) + Research ($0) + Ownership ($0) = $1,815.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($431).
Total Amount
$1,815
General + Research + Ownership
Payments
94
Total payment records
General Amount
$1,815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $431 |
| PFIZER INC. | $319 |
| ABBVIE INC. | $190 |
| Lilly USA, LLC | $140 |
| Novo Nordisk Inc | $65 |
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: 2017-08-28
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 |
|---|---|---|---|---|
| I20170828000093 | I | Physician Assistant | MI | 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 | 149 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 67 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 31 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 29 | 13 | $0 |
| 81002 | Urinalysis, manual test | 27 | 26 | $0 |
Insurance plans in this area (ZIP 48430)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 55 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | AL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| - | MI | |
| Physician Assistant | MI |
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