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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. THOMAS RYSEDORPH PA-C
NPI 1114779139
Physician Assistant in Richmond, VA

Active since April 03, 2024PECOS Enrolled
5801 BREMO RD, RICHMOND, VA 23226(804) 285-2011 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Mr. Thomas Rysedorph Pa-c NPPES

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

MR. THOMAS RYSEDORPH PA-C (NPI 1114779139) is an individual physician assistant in Richmond, Virginia, licensed in Virginia (0110010013) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114779139
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS RYSEDORPHCredential: PA-C
Location Address5801 BREMO RDRichmond, VA 23226-1907
Mailing Address5801 Bremo RdRichmond, VA 23226-1907 · (804) 477-4003
Phone(804) 285-2011
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1114779139 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 VA · 0110010013
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.
5801 BREMO RD, Richmond, VA 23226
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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 (PECOS)

Mr. Thomas Rysedorph 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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

DR. ENJANA BYLYKBASHI MD
Emergency Medicine
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
LAUREN BROOKE CHOI RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
KRISTEN KENNEDY YOUNG RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8208
DR. BETH BARTON HEWITT MD
Pathology (Anatomic Pathology & Clinical Pathology)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8100
JAMES R SHEFFERLY M.D.
Emergency Medicine
5801 BREMO RD, VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND, VA 23226
Richmond City (804) 287-7066
JEFFRY A ZIMMERMAN P.A.
Physician Assistant
5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT
RICHMOND, VA 23226
Richmond City (804) 287-7066
LISA BROADDUS ZIEGLER CRNA
Nurse Anesthetist, Certified Registered
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
JONATHAN BOWERS SURGICAL ASSISTANT
Specialist/Technologist, Other (Surgical Assistant)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8503

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 Thomas Rysedorph's NPI number?

The NPI number for Thomas Rysedorph is 1114779139. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Thomas Rysedorph located?

Thomas Rysedorph practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 285-2011.

What is Thomas Rysedorph's specialty?

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

Is Thomas Rysedorph enrolled in Medicare?

Yes. Thomas Rysedorph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Rysedorph was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.