RYAN ANDREW NUSSBAUM (PA-C) – Physician Assistant, NPI 1093259509
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for RYAN ANDREW NUSSBAUM (PA-C)
10413, South Nathan Street, Southern Reserve, Jenks, Tulsa County, Oklahoma, 74037, United States
JENKS, OK 740371836
Phone: (918) 269-9978
Type: Mailing
9716 Riverside Pkwy
suite 100
Tulsa, OK 741377447
Phone: (918) 299-4333
Type: Location
Riverside Parkway, Kensington, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 100
TULSA, OK 741377447
Phone: (918) 299-4333
Type: Location
2488 E 81ST ST STE 290
TULSA, OK 741374299
Phone: (918) 494-2665
Fax: (918) 927-3201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Stryker Corporation ($118).
Total Amount
$137
General + Research + Ownership
Payments
4
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $118 |
| Bioventus LLC | $19 |
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: 2017-01-30
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 |
|---|---|---|---|---|
| I20170130000709 | I | Physician Assistant | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 224 | 35 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 196 | 84 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 182 | 37 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 133 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 114 | $0 |
Insurance plans in this area (ZIP 74037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Family Practice, Emergency Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK |
Reviews
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