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NICHOLE M. RYBA PA
NPI 1073881033
Physician Assistant in Sinking Spring, PA

Active since December 06, 2011PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
2913 WINDMILL RD STE 7, SINKING SPRING, PA 19608(610) 288-2908(610) 898-4832 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole M. Ryba Pa NPPES

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

NICHOLE M. RYBA PA (NPI 1073881033) is an individual physician assistant in Sinking Spring, Pennsylvania, licensed in Pennsylvania (MA055132) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital - Carbon Campus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073881033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLE M. RYBACredential: PA
Location Address2913 WINDMILL RD STE 7Sinking Spring, PA 19608-1680
Mailing Address2913 Windmill Rd Ste 7Sinking Spring, PA 19608-1680 · (610) 288-2908 · Fax (610) 898-4832
Phone(610) 288-2908
Fax(610) 898-4832
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 6, 2011
Last NPPES UpdateMarch 28, 2016
✔ NPI 1073881033 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 PA · MA055132
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.
2913 WINDMILL RD STE 7, Sinking Spring, PA 19608
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Other Identifiers 2

Medicare PIN244614PA
Medicare PIN399466YG9CPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Nichole M. Ryba Pa 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 ID7012184831
PECOS Enrollment IDI20120813000761
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.

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19608 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.75
Promoting Interoperability97
Improvement Activities40
Cost46.59

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
4%534 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%3,097 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,110 patients4/55-star benchmark: 100%
One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk
Percentage of patients aged 18 years and older with one or more of the following: a history of injection drug use, receipt of a blood transfusion prior to 1992, receiving maintenance hemodialysis, OR birthdate in the years 1945-1965 who received one-time…
48%260 patients3/55-star benchmark: 85%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%2,552 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
62%68 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
29%2,552 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
97%382 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

PENNSYLVANIA DERMATOLOGY PARTNERS INC
Dermatology
2913 WINDMILL RD STE 7, SPRING COMMONS
SINKING SPRING, PA 19608
Berks County (610) 288-2908
DR. BERARD NICHOLAS AVELLA MD
Internal Medicine
2913 WINDMILL RD STE 7
SINKING SPRING, PA 19608
Berks County (610) 678-8800
WESTERN BERKS MEDICAL ASSOCIATES
Internal Medicine
2913 WINDMILL RD STE 7
SINKING SPRING, PA 19608
Berks County (610) 678-8800

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 Nichole Ryba's NPI number?

The NPI number for Nichole Ryba is 1073881033. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Nichole Ryba located?

Nichole Ryba practices at 2913 Windmill Rd Ste 7, Sinking Spring, PA 19608. The listed phone number is (610) 288-2908.

What is Nichole Ryba's specialty?

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

Is Nichole Ryba enrolled in Medicare?

Yes. Nichole Ryba 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 Nichole Ryba accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nichole Ryba 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.

Is Nichole Ryba affiliated with any hospitals?

According to CMS data, Nichole Ryba is affiliated with St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Nichole Ryba was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.