MR. JOSEPH RYAN WALSH (PA) – Physician Assistant, NPI 1962867457

MR. JOSEPH RYAN WALSH (PA) is a healthcare provider. based in Wentzville, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2016004094 (MO). The NPI Number for MR. JOSEPH RYAN WALSH (PA) is 1962867457

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSEPH RYAN WALSH (PA)
NPI
1962867457
Phone
(314) 853-6612
Address
130 MARBLE CROSSING DR
Enumeration Date
28 December 2015
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8820392772
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20160212001340
Address ID
MO631101032SA4921XPLXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MR. JOSEPH RYAN WALSH (PA)

  • 130 MARBLE CROSSING DR

    WENTZVILLE, MO 633853847

    Phone: (314) 853-6612

    Type: Mailing

  • 3009 N BALLAS RD

    SUITE 304A

    SAINT LOUIS, MO 631312322

    Phone: (314) 842-2100

    Fax: (314) 843-0164

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (636) 916-7140

    Fax: (636) 916-7139

    Type: Mailing

  • 100 ENTRANCE WAY

    DEPT NEUROLOGICAL SURGERY, STE B

    SAINT PETERS, MO 633761645

    Phone: (636) 916-7140

    Fax: (636) 916-7139

    Type: Location

  • 660 S EUCLID AVE

    CB 8057

    SAINT LOUIS, MO 631101010

    Phone: (636) 916-7140

    Fax: (636) 916-7139

    Type: Mailing

  • 10 HOSPITAL DR

    DEPT NEUROLOGICAL SURGERY

    SAINT PETERS, MO 633761659

    Phone: (636) 916-7140

    Fax: (636) 916-7139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Elite Orthopedics, LLC ($52).

Total Amount

$212

General + Research + Ownership

Payments

11

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2016-02-12

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
I20160212001340IPhysician AssistantMOTBD

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
99204New patient office or other outpatient visit, 45-59 minutes7777$0
99212Established patient office or other outpatient visit, 10-19 minutes5344$0
99213Established patient office or other outpatient visit, 20-29 minutes4435$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 63385)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Can I verify MR. JOSEPH RYAN WALSH (PA) with an NPI only?
You can start verification with NPI 1962867457 for MR. JOSEPH RYAN WALSH (PA), then check state licensing separately.
Does CMS list MR. JOSEPH RYAN WALSH (PA) as active?
Yes — MR. JOSEPH RYAN WALSH (PA) is active in the NPI listing used on this page.
What healthcare role does MR. JOSEPH RYAN WALSH (PA) hold?
Scheduling teams often label MR. JOSEPH RYAN WALSH (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. JOSEPH RYAN WALSH (PA) serve?
MR. JOSEPH RYAN WALSH (PA)'s listing highlights Wentzville, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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