MR. RYAN J BROYLES (O.D.) – Optometrist, NPI 1750548871

MR. RYAN J BROYLES (O.D.) is a healthcare provider. based in Saint joseph, Missouri. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2007018335 (MO). The NPI Number for MR. RYAN J BROYLES (O.D.) is 1750548871

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN J BROYLES (O.D.)
NPI
1750548871
Phone
(816) 279-2339
Address
1309 VILLAGE DR
Enumeration Date
16 May 2008
Last Update Date
19 January 2012

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8168582522
Graduation Year
2007 (19 years ago)
PAC ID
5799838496
Group Practice PAC ID
5890840185
Professional Enrollment ID
I20090728000630
Address ID
MO640797627PL2441XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for MR. RYAN J BROYLES (O.D.)

  • 1309, Village Drive, St. Joseph, Buchanan County, Missouri, 64506, United States

    SAINT JOSEPH, MO 645062457

    Phone: (816) 279-2339

    Fax: (816) 279-0110

    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 43 Open Payments records for all available years, with a total value of $929.

Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($176).

Total Amount

$929

General + Research + Ownership

Payments

43

Total payment records

General Amount

$929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2009-07-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090728000630IOptometryMOTBD

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
92014Established patient complete exam of visual system124123$0
99214Established patient office or other outpatient visit, 30-39 minutes9385$0
92012Established patient problem focused exam of visual system4632$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
92083Exam of visual field with extended testing2521$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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Provider's Procedures

MR. RYAN J BROYLES (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92012Eye and medical examination for diagnosis and treatment, established patient3428

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: 5890840185View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Can I cross-check MR. RYAN J BROYLES (O.D.) using NPI 1750548871?
NPI 1750548871 belongs to MR. RYAN J BROYLES (O.D.); compare other details if you need extra assurance.
Is there an active status for MR. RYAN J BROYLES (O.D.)?
For scheduling context, MR. RYAN J BROYLES (O.D.) is shown as active in the registry.
How would a patient describe MR. RYAN J BROYLES (O.D.)'s focus?
For MR. RYAN J BROYLES (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. RYAN J BROYLES (O.D.)?
Travel planning: use Saint Joseph, Missouri as the reference point for MR. RYAN J BROYLES (O.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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