RYAN ANDREW NUSSBAUM PA-C
NPI 1093259509
Physician Assistant in Tulsa, OK

Q: What is Ryan Nussbaum's NPI number?

The NPI number for Ryan Nussbaum is 1093259509. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Q: What is Ryan Nussbaum'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 Nussbaum was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 19, 2016PECOS EnrolledAccepts Medicare Assignment

2488 E 81ST ST STE 290, TULSA, OK 74137(918) 494-2665(918) 927-3193 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Apr 6, 2022, Mar 2, 2022 and 1 more (4 updates tracked since 2016).

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About Ryan Andrew Nussbaum Pa-c NPPES

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

RYAN ANDREW NUSSBAUM PA-C (NPI 1093259509) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (2739) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Surgical Hospital, Llc, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1093259509

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRYAN ANDREW NUSSBAUMCredential: PA-C

Location Address2488 E 81ST ST STE 290Tulsa, OK 74137-4265

Mailing Address2488 E 81st St Ste 290Tulsa, OK 74137-4299 · (918) 494-2665 · Fax (918) 927-3201

Phone(918) 494-2665

Fax(918) 927-3193

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 19, 2016

Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1093259509 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 OK · 2739

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.

2488 E 81ST ST STE 290, Tulsa, OK 74137

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Secondary Practice Location 1

Location 19716 Riverside Pkwy, suite 100Tulsa, OK 74137-7447 · Phone (918) 299-4333

Other Identifiers 1

Medicaid200686580AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Ryan Andrew Nussbaum Pa-c 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 ID7810279775

PECOS Enrollment IDI20170130000709

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

464 services58 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

275 services110 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

208 services43 patients

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.

146 services119 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

112 services14 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

29 services29 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370210

Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74137 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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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.

BAILEY CLARK PTA

Physical Therapy Assistant