RYLAN ANDERSON DO
NPI 1184317554
Family Medicine in Pocatello, ID

Q: What is Rylan Anderson's NPI number?

The NPI number for Rylan Anderson is 1184317554. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Q: What is Rylan Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rylan Anderson was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2023PECOS Enrolled

465 MEMORIAL DR, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rylan Anderson Do NPPES

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

RYLAN ANDERSON DO (NPI 1184317554) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (8161170) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Rocky Vista University College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1184317554

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRYLAN ANDERSONCredential: DO

Location Address465 MEMORIAL DRPocatello, ID 83201-4008

Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862

Phone(208) 232-7862

Sole ProprietorYes

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2023

Enumeration DateMay 31, 2023

Last NPPES UpdateJanuary 21, 2025

NPPES CertifiedJanuary 21, 2025

✔ NPI 1184317554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 8161170

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

465 MEMORIAL DR, Pocatello, ID 83201

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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)

Rylan Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436519808

PECOS Enrollment IDI20260128004410

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.

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID

OwnershipGovernment - Local

CMS Certification Number131303

Location150 North 200 WestMalad, ID 83252 · Oneida County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

LANA BORGHOLTHAUS PA

Physician Assistant