RYAN GASTON LECKNER
NPI 1154157907
Physician Assistant in South Lyon, MI

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
22655 INDIANWOOD DR, SOUTH LYON, MI 48178(248) 880-0878 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Gaston Leckner NPPES

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

RYAN GASTON LECKNER (NPI 1154157907) is an individual physician assistant in South Lyon, Michigan and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154157907
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN GASTON LECKNER
Location Address22655 INDIANWOOD DRSouth Lyon, MI 48178-9420
Mailing Address22655 Indianwood DrSouth Lyon, MI 48178-9420
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
NPI 1154157907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

22655 INDIANWOOD DR, South Lyon, MI 48178

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 Gaston Leckner 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 ID5193205136
PECOS Enrollment IDI20260217004354
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 Leckner's NPI number?

The NPI number for Ryan Leckner is 1154157907. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Ryan Leckner located?

Ryan Leckner practices at 22655 Indianwood Dr, South Lyon, MI 48178. The listed phone number is (248) 880-0878.

What is Ryan Leckner's specialty?

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

Is Ryan Leckner enrolled in Medicare?

Yes. Ryan Leckner 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.

When was this NPI record last updated?

The NPPES record for Ryan Leckner was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.