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JOHN PHILIP BRYAN PA-C
NPI 1083614127
Physician Assistant - Surgical in Evansville, IN

Active since July 29, 2005PECOS Enrolled
89.02/100
CMS Quality Rating
225 CROSSLAKE DR, EVANSVILLE, IN 47715(812) 477-1558(812) 488-4669 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Philip Bryan Pa-c NPPES

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

JOHN PHILIP BRYAN PA-C (NPI 1083614127) is an individual surgical provider in Evansville, Indiana, licensed in Indiana (99039830A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083614127
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN PHILIP BRYANCredential: PA-C
Location Address225 CROSSLAKE DREvansville, IN 47715-8198
Mailing Address323s 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566 · Fax (920) 746-3515
Phone(812) 477-1558
Fax(812) 488-4669
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateAugust 24, 2015
✔ NPI 1083614127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IN · 99039830A
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601002612 (MI)
225 CROSSLAKE DR, Evansville, IN 47715
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINS55128MI
Other19788MI · Priority Health
Medicare ID-Type UnspecifiedN79030001MI · Billing Number
Other383450619MI · Community Choice Billing

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Philip Bryan Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

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.

89.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability99
Improvement Activities40

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.

CONNER J ZUBER DPT
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
ARNALDO SANTANA RODRIGUEZ
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
TAMMY SCISNEY
Physical Therapy Assistant
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
TYLER J. KELLY DPM
Podiatrist (Foot & Ankle Surgery)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
ALEC CABRERA LA ROSA DPT
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
MELANIE STIPPLER DPT
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 471-6677
BRITTANY GAIL HENDERSON DPT
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558
BRYN A BAKER RN
Registered Nurse
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Vanderburgh County (812) 477-1558

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 John Bryan's NPI number?

The NPI number for John Bryan is 1083614127. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is John Bryan located?

John Bryan practices at 225 Crosslake Dr, Evansville, IN 47715. The listed phone number is (812) 477-1558.

What is John Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Bryan enrolled in Medicare?

Yes. John Bryan is registered in the Medicare PECOS enrollment system.

What insurance does John Bryan accept?

Health plans from Medica list John Bryan 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 John Bryan was last updated on August 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.