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RYAN PUCCIA MD
NPI 1104357425
Otolaryngology in Wauwatosa, WI

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
1155 N MAYFAIR RD DEPT OF, WAUWATOSA, WI 53226(414) 955-5990(414) 955-6282 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Jul 14, 2023, Aug 9, 2022 and 2 more (5 updates tracked since 2017).

About Ryan Puccia Md NPPES

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

RYAN PUCCIA MD (NPI 1104357425) is an individual otolaryngology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (70160) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1104357425
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRYAN PUCCIACredential: MD
Location Address1155 N MAYFAIR RD DEPT OFWauwatosa, WI 53226-3462
Mailing Address1155 N Mayfair Rd Dept OfWauwatosa, WI 53226-3462 · (414) 955-5990 · Fax (414) 955-6282
Phone(414) 955-5990
Fax(414) 955-6282
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateSeptember 1, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1104357425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WI · 70160
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 70160 (WI)
1155 N MAYFAIR RD DEPT OF, Wauwatosa, WI 53226
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Other Identifiers 1

Medicaid1104357425WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, BlueCross BlueShield of South Carolina 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 Puccia Md 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 ID446590806
PECOS Enrollment IDI20230925003608
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 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.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Ryan Puccia's NPI number?

The NPI number for Ryan Puccia is 1104357425. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Ryan Puccia located?

Ryan Puccia practices at 1155 N Mayfair Rd Dept Of, Wauwatosa, WI 53226. The listed phone number is (414) 955-5990.

What is Ryan Puccia's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ryan Puccia enrolled in Medicare?

Yes. Ryan Puccia 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 Ryan Puccia accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, BlueCross BlueShield of South Carolina, CareSource (Common Ground Healthcare) and HealthPartners and 2 other insurers list Ryan Puccia 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 Ryan Puccia affiliated with any hospitals?

According to CMS data, Ryan Puccia is affiliated with Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Puccia was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.