RYAN BRENT UDINK D.O.
NPI 1073756359
Emergency Medicine in Boise, ID

Q: What is Ryan Udink's NPI number?

The NPI number for Ryan Udink is 1073756359. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Q: What is Ryan Udink's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Udink was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 15, 2009PECOS Enrolled

6051 W EMERALD ST, BOISE, ID 83704(208) 302-5150(208) 302-5155 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ryan Brent Udink D.o. NPPES

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

RYAN BRENT UDINK D.O. (NPI 1073756359) is an individual emergency medicine provider in Boise, Idaho, licensed in Oregon (DO160999) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Klamath Falls.

NPPES Registry Identity

NPI1073756359

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRYAN BRENT UDINKCredential: D.O.

Location Address6051 W EMERALD STBoise, ID 83704-8969

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-5150

Fax(208) 302-5155

Sole ProprietorNo

Enumeration DateApril 15, 2009

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1073756359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OR · DO160999✔ Licensed in ID · 7281913✔ Licensed in OH · 010492

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6051 W EMERALD ST, Boise, ID 83704

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Secondary Practice Location 1

Location 12865 Daggett AveKlamath Falls, OR 97601-1106 · Phone (541) 882-6311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Brent Udink D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Ryan Udink reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Alphonsus Regional Medical Center Inc

0.2 mi

Psychologist

1055 N CURTIS RD
Boise, ID 83706

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1649357716 (208) 367-4148

Saint Alphonsus Medical Center- Ontario Inc

46 mi

Internal Medicine

1050 SW 3RD AVE, STE 3200
Ontario, OR 97914

Reassigned Medicare billing, Idaho enrollment
67 clinicians in this Medicare group

NPI 1093034159 (541) 881-7370

Sky Lakes Medical Center Inc

296 mi

General Acute Care Hospital

2865 DAGGETT AVE
Klamath Falls, OR 97601

Reassigned Medicare billing, Oregon enrollment
355 clinicians in this Medicare group

NPI 1659340370 (541) 274-6221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

241 services227 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

158 services153 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services16 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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 20

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

BETHANY KENDALL MAZE FNP

Nurse Practitioner (Family)