TIMOTHY RYAN RPA
NPI 1073536819
Physician Assistant in Rockville Centre, NY

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571(516) 705-1353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Ryan Rpa NPPES

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

TIMOTHY RYAN RPA (NPI 1073536819) is an individual physician assistant in Rockville Centre, New York, licensed in New York (010091) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1073536819
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY RYANCredential: RPA
Location Address1000 N. VILLAGE AVENUERockville Centre, NY 11571
Mailing AddressP.o. Box 798Rockville Centre, NY 11571 · (516) 705-1353
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073536819 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 NY · 010091
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.

1000 N. VILLAGE AVENUE, Rockville Centre, NY 11571

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

Timothy Ryan Rpa 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 ID3870558554
PECOS Enrollment IDI20041122000792
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11571 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$38.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1000 N. VILLAGE AVENUE
ROCKVILLE CENTER, NY 11571
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Pediatrics (Neonatal-Perinatal Medicine)
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Psychiatric Unit
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Radiology (Diagnostic Radiology)
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Psychiatry & Neurology (Psychiatry)
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Psychiatry & Neurology (Psychiatry)
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571
Surgery
1000 N. VILLAGE AVENUE
ROCKVILLE CENTRE, NY 11571

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 Timothy Ryan's NPI number?

The NPI number for Timothy Ryan is 1073536819. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Timothy Ryan located?

Timothy Ryan practices at 1000 N. Village Avenue, Rockville Centre, NY 11571. The listed phone number is (516) 705-1353.

What is Timothy Ryan's specialty?

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

Is Timothy Ryan enrolled in Medicare?

Yes. Timothy Ryan 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.

Is Timothy Ryan affiliated with any hospitals?

According to CMS data, Timothy Ryan is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Ryan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.