RYAN MCCAULEY RIVARD
NPI 1073235362
Physician Assistant in Plymouth, MN

Q: What is Ryan Rivard's NPI number?

The NPI number for Ryan Rivard is 1073235362. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Q: What is Ryan Rivard'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 Ryan Rivard was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 14, 2022PECOS EnrolledAccepts Medicare Assignment

4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446(763) 478-4612 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Sep 14, 2022 (2 updates tracked since 2022).

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About Ryan Mccauley Rivard NPPES

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

RYAN MCCAULEY RIVARD (NPI 1073235362) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (15293) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073235362

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRYAN MCCAULEY RIVARD

Location Address4140 COUNTY ROAD 101 NPlymouth, MN 55446-2308

Mailing Address5704 Creek Valley RdEdina, MN 55439-1210

Phone(763) 478-4612

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 14, 2022

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1073235362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15293

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.

4140 COUNTY ROAD 101 N, Plymouth, MN 55446

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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

Ryan Mccauley Rivard 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 ID3072028737

PECOS Enrollment IDI20250714000338

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 55446 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 12

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

SARAH IRENE HARE

Nurse Practitioner (Family)