DR. RYAN DAVID TACKLA (M.D) – Neurological Surgery Physician, NPI 1235457037

DR. RYAN DAVID TACKLA (M.D) is a healthcare provider. based in Cincinnati, Ohio. specializing in NEUROSURGERY. They hold the professional credentials M.D. They hold a License No. 35.122447 (OH). The NPI Number for DR. RYAN DAVID TACKLA (M.D) is 1235457037

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN DAVID TACKLA (M.D)
NPI
1235457037
Phone
(513) 221-1100
Address
PO BOX 643398
Enumeration Date
4 May 2010
Last Update Date
28 July 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5132211100
Graduation Year
2006 (20 years ago)
PAC ID
4082853189
Group Practice PAC ID
9133013006
Professional Enrollment ID
I20200731000929
Address ID
OH452091288CI3825XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

342 NEUROSURGERY in OH

Provider Addresses for DR. RYAN DAVID TACKLA (M.D)

  • PO BOX 643398

    CINCINNATI, OH 452643398

    Phone: (513) 221-1100

    Fax: (513) 684-4501

    Type: Mailing

  • 3825 EDWARDS RD STE 300

    CINCINNATI, OH 452091288

    Phone: (513) 221-1100

    Fax: (513) 684-4501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Imperative Care, Inc ($162).

Total Amount

$327

General + Research + Ownership

Payments

3

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2024-01-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200731000929INeurosurgeryOHTBD
I20240119002234INeurosurgeryKYTBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes2519$0
99214Established patient office or other outpatient visit, 30-39 minutes1511$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 45264)

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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: 9133013006View full group profile
NameSpecialtyState
N E U R O S U R G E R YOH
Physical Therapist In Private PracticeOH
-OH
-OH
N E U R O S U R G E R YOH
Physician AssistantOH
Nurse PractitionerOH
N E U R O S U R G E R YOH
Nurse PractitionerOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to DR. RYAN DAVID TACKLA (M.D)?
The federal identifier for DR. RYAN DAVID TACKLA (M.D) is NPI 1235457037.
Does this profile mean DR. RYAN DAVID TACKLA (M.D) is currently active?
Yes — DR. RYAN DAVID TACKLA (M.D) appears active in the national provider directory.
Can you summarize DR. RYAN DAVID TACKLA (M.D)'s specialty in plain language?
Clinically, the directory lists DR. RYAN DAVID TACKLA (M.D) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. RYAN DAVID TACKLA (M.D) practice in Ohio?
You will see Cincinnati, Ohio on file for DR. RYAN DAVID TACKLA (M.D) alongside any extra practice locations.
How can I contact DR. RYAN DAVID TACKLA (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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