MR. RYAN J FONG RPA-C
NPI 1154621860
Physician Assistant in Quincy, MA

Active since October 27, 2010PECOS EnrolledAccepts Medicare Assignment
54 MILLER ST STE 201, QUINCY, MA 02169(617) 481-3100(617) 481-3105 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ryan J Fong Rpa-c NPPES

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

MR. RYAN J FONG RPA-C (NPI 1154621860) is an individual physician assistant in Quincy, Massachusetts, licensed in Massachusetts (4883) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains a secondary practice location in West Coxsackie.

NPPES Registry Identity

NPI1154621860
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RYAN J FONGCredential: RPA-C
Location Address54 MILLER ST STE 201Quincy, MA 02169-4725
Mailing Address362 N Bedford StEast Bridgewater, MA 02333-1148 · (617) 481-3100 · Fax (617) 481-3105
Fax(617) 481-3105
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 27, 2010
Last NPPES UpdateOctober 26, 2017
NPI 1154621860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MA · 4883 Licensed in NY · 014255
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.
54 MILLER ST STE 201, Quincy, MA 02169

Secondary Practice Location 1

Location 111835 Rt 9WWest Coxsackie, NY 12192-3605 · Phone (518) 731-9000

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

Mr. Ryan J Fong Rpa-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 ID8123203643
PECOS Enrollment IDI20181009000414
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.

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.
126 services115 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02169 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 Fong's NPI number?

The NPI number for Ryan Fong is 1154621860. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Ryan Fong located?

Ryan Fong practices at 54 Miller St Ste 201, Quincy, MA 02169. The listed phone number is (617) 481-3100.

What is Ryan Fong's specialty?

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

Is Ryan Fong enrolled in Medicare?

Yes. Ryan Fong 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.

Is Ryan Fong affiliated with any hospitals?

According to CMS data, Ryan Fong is affiliated with Northern Light Health.

When was this NPI record last updated?

The NPPES record for Ryan Fong was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.