RYAN ERIC ALLEN – Sports Medicine (Family Medicine) Physician, NPI 1376172650
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
992 FAMILY PRACTICE in NV
Provider Addresses for RYAN ERIC ALLEN
9010 W CHEYENNE AVE
LAS VEGAS, NV 891298932
Phone: (702) 240-8646
Type: Mailing
6420 CLAYTON RD STE 2234
SAINT LOUIS, MO 631171811
Phone:
Type: Mailing
401 HOLLY HILLS AVE
SAINT LOUIS, MO 631112410
Phone: (314) 353-5190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $429.
Total Amount is formed as General ($429) + Research ($0) + Ownership ($0) = $429.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($169).
Total Amount
$429
General + Research + Ownership
Payments
9
Total payment records
General Amount
$429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-10-25
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 |
|---|---|---|---|---|
| I20241025003588 | I | Family Practice | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| - | NV | |
| Family Practice | NV | |
| Nurse Practitioner | NV | |
| Family Practice | NV | |
| Family Practice | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Family Practice | NV | |
| Physician Assistant | NV |
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