RYAN WILLARD ROGERS (PA-C) – Physician Assistant, NPI 1124325907
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for RYAN WILLARD ROGERS (PA-C)
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (573) 341-5611
Type: Location
755 Cowan Dr
Lebanon, MO 655364629
Phone: (417) 532-2508
Type: Location
608 OLD ROUTE 66
SAINT ROBERT, MO 655843730
Phone: (573) 336-5100
Type: Mailing
441 W ELM ST
LEBANON, MO 655363523
Phone: (417) 532-2890
Fax: (417) 532-2965
Type: Location
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Phone: (573) 348-8000
Type: Mailing
1029 NICHOLS RD STE 201
OSAGE BEACH, MO 650653008
Phone: (573) 302-7138
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($36).
Total Amount
$80
General + Research + Ownership
Payments
5
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $36 |
| Novo Nordisk Inc | $17 |
| Novartis Pharmaceuticals Corporation | $14 |
| Bayer Healthcare Pharmaceuticals Inc. | $13 |
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: 2011-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20110323000607 | I | Physician Assistant | MO | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 223 | 217 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 173 | 171 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 91 | 86 | $0 |
| 99291 | Critical care, first 30-74 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 65401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 73630 | X-ray of foot, minimum of 3 views | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hematology/Oncology, Internal Medicine | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
Reviews
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