RYAN VINCENT – Pain Medicine (Anesthesiology) Physician, NPI 1376986604

RYAN VINCENT is a healthcare provider. based in Edmond, Oklahoma. specializing in INTERVENTIONAL PAIN MANAGEMENT. They hold a License No. 30777 (OK). The NPI Number for RYAN VINCENT is 1376986604

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RYAN VINCENT
NPI
1376986604
Phone
(405) 757-3630
Address
2017 W I 35 FRONTAGE RD STE 130
Enumeration Date
17 April 2013
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4056194470
Graduation Year
2013 (13 years ago)
PAC ID
7517294531
Group Practice PAC ID
9931180346
Professional Enrollment ID
I20190813002139
Address ID
OK731398123OK401XXSTXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

34 INTERVENTIONAL PAIN MANAGEMENT in OK

Provider Addresses for RYAN VINCENT

  • 2017 W I 35 FRONTAGE RD STE 130

    EDMOND, OK 730138554

    Phone: (405) 757-3630

    Type: Location

  • 2420 NW 43RD CIR

    OKLAHOMA CITY, OK 731128722

    Phone:

    Type: Mailing

  • 401 SW 80TH ST

    BLDG D, STE. 200

    OKLAHOMA CITY, OK 731398123

    Phone: (405) 619-4470

    Fax: (405) 900-5363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,499.

Total Amount is formed as General ($1,499) + Research ($0) + Ownership ($0) = $1,499.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($642).

Total Amount

$1,499

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,499

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2019-08-13

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
I20190813002139IInterventional Pain ManagementOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,464103$0
99214Established patient office or other outpatient visit, 30-39 minutes617223$0
80305Testing for presence of drug, read by direct observation21554$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21039$0
62323Injection of substance into lower spine canal using imaging guidance160105$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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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: 9931180346View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Hand Surgery, Plastic And Reconstructive SurgeryOK
Physician AssistantOK
Physician AssistantOK
Orthopedic SurgeryOK
Orthopedic Surgery, Emergency MedicineOK
Orthopedic SurgeryOK

Reviews

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Frequently asked questions

Where can patients find RYAN VINCENT's NPI?
You can confirm RYAN VINCENT with NPI 1376986604; it appears in the national provider directory.
Is RYAN VINCENT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is RYAN VINCENT?
The page reflects Pain Medicine (Anesthesiology) Physician for RYAN VINCENT. Clinical services aligned with this taxonomy classification.
Does RYAN VINCENT practice in Oklahoma?
You will see Edmond, Oklahoma on file for RYAN VINCENT alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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