RYAN JACKMAN M.D. - NPI 1114363942 - Family Medicine in Grand Junction, CO

Q: What is Ryan Jackman's NPI number?

The NPI number for Ryan Jackman is 1114363942. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Q: What is Ryan Jackman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Jackman was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ryan Jackman M.d. NPPES

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

RYAN JACKMAN M.D. (NPI 1114363942) is an individual addiction medicine provider in Grand Junction, Colorado, licensed in Colorado (DR.0054067) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1114363942

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameRYAN JACKMANCredential: M.D.

Location Address2643 PATTERSON RD STE 603Grand Junction, CO 81506-1937

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(970) 298-3801

Fax(970) 232-2860

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2013

Enumeration DateMay 20, 2013

Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1114363942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in CO · DR.0054067

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0054067 (CO)

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License DR.0054067 (CO)

2643 PATTERSON RD STE 603, Grand Junction, CO 81506

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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 Jackman M.d. 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 ID1456641570

PECOS Enrollment IDI20160729000922

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 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.

30 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81506 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 9

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

DR. KATHERINE MARIE ZYBACH MD

Pediatrics