MS. KELLY RYAN – Surgical Physician Assistant, NPI 1194806539
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. KELLY RYAN
65 JAMES ST
EDISON, NJ 088203947
Phone: (732) 321-7000
Type: Mailing
1438, 70th Street, Dyker Heights, New Utrecht, Brooklyn, Kings County, New York, 11228, United States
1C
BROOKLYN, NY 112281706
Phone: (201) 779-7108
Type: Mailing
SEVENTH AVENUE, 6423, 7th Avenue, Sunset Park, Brooklyn, Kings County, New York, 11220, United States
4B
BROOKLYN, NY 11215
Phone: (718) 283-6000
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 $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($108).
Total Amount
$216
General + Research + Ownership
Payments
5
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $108 |
| Highridge Medical LLC | $57 |
| Lilly USA, LLC | $37 |
| Teva Pharmaceuticals USA, Inc. | $14 |
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: 2023-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090427000600 | I | Physician Assistant | NY | TBD |
| I20230911000431 | I | Physician Assistant | NJ | 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 08820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Internal Medicine | NY | |
| P A T H O L O G Y | NY | |
| Orthopedic Surgery | NY | |
| Diagnostic Radiology | NY | |
| E N D O C R I N O L O G Y | NY | |
| - | NY | |
| Nuclear Medicine | NY | |
| - | NY | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | NY |
Reviews
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