MR. ZACHARY RYAN MEDO PA-C
NPI 1023838455
Physician Assistant in West Lafayette, IN

Q: What is Zachary Medo's NPI number?

The NPI number for Zachary Medo is 1023838455. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Q: What is Zachary Medo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Medo was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2024PECOS EnrolledAccepts Medicare Assignment

909 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 463-6262 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Feb 12, 2025, Oct 11, 2024 (3 updates tracked since 2024).

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About Mr. Zachary Ryan Medo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ZACHARY RYAN MEDO PA-C (NPI 1023838455) is an individual physician assistant in West Lafayette, Indiana, licensed in Indiana (10004641A) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023838455

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ZACHARY RYAN MEDOCredential: PA-C

Location Address909 SAGAMORE PKWY WWest Lafayette, IN 47906-1443

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(765) 463-6262

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 11, 2024

Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration

NPPES CertifiedMarch 6, 2025

✔ NPI 1023838455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004641A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

909 SAGAMORE PKWY W, West Lafayette, IN 47906

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Zachary Ryan Medo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981126117

PECOS Enrollment IDI20250318000895

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIBBETT JEANNE SMITH FNP

Nurse Practitioner (Family)

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

KISHAN B PATEL MD

Family Medicine

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

DR. KEITH W. MARCH MD

Family Medicine

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

KRISTEN DIANE LOUCK FNP

Nurse Practitioner (Family)

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

SKYLER GICK DO

Family Medicine (Sports Medicine)

909 SAGAMORE PKWY W
LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

MRS. KATHERINE SZUMLANSKI YOUNG NP

Nurse Practitioner (Family)

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

ABBI MARIE PENA N.P.

Nurse Practitioner (Family)

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

JACQUELINE FITZGERALD

Nurse Practitioner (Family)

909 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

Tippecanoe County (765) 463-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Medo's NPI number?

The NPI number for Zachary Medo is 1023838455. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Zachary Medo located?

Zachary Medo practices at 909 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (765) 463-6262.

What is Zachary Medo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zachary Medo enrolled in Medicare?

Yes. Zachary Medo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Zachary Medo accept?

Health plans from CareSource list Zachary Medo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Medo was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.