MR. RONNIE BRYON ISAACSON (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1275007965
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MR. RONNIE BRYON ISAACSON (PHYSICIAN ASSISTANT)
702 Sunset Dr
Ontario, OR 979143121
Phone: (541) 889-9167
Fax: (541) 889-7873
Type: Location
331 SE 2nd St
Pendleton, OR 978012224
Phone: (541) 276-6207
Fax: (541) 276-4628
Type: Location
1019 W Sanetta St
Nampa, ID 836515047
Phone: (208) 917-1842
Type: Location
1044 Northwest Blvd Ste C
Coeur D Alene, ID 838142114
Phone: (208) 917-1842
Type: Location
2609 S 10th Ave
Caldwell, ID 836056816
Phone: (208) 841-3020
Fax: (208) 549-7017
Type: Location
595 NW 11th St
Hermiston, OR 978386600
Phone: (541) 567-2536
Fax: (541) 567-2362
Type: Location
2609, South 10th Avenue, Caldwell, Canyon County, Idaho, 83605, United States
CALDWELL, ID 836056816
Phone: (208) 841-3020
Fax: (208) 549-7017
Type: Location
4615 W EMERALD ST
BOISE, ID 837062002
Phone: (208) 917-1842
Type: Location
13825, Paraiso Street, Caldwell, Canyon County, Idaho, 83607, United States
CALDWELL, ID 836078088
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,576.
Total Amount is formed as General ($1,576) + Research ($0) + Ownership ($0) = $1,576.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($363).
Total Amount
$1,576
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,576
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: 2022-06-09
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 |
|---|---|---|---|---|
| I20220609002733 | I | Physician Assistant | UT | 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 97914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | DE | |
| Physician Assistant | MI | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| P S Y C H I A T R Y | UT | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | UT |
Reviews
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