1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

RYAN JAMES MCAULEY MD
NPI 1184858821
Pediatrics in Philadelphia, PA

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD, 2 WEST, PHILADELPHIA, PA 19104(215) 662-2532 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan James Mcauley Md NPPES

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

RYAN JAMES MCAULEY MD (NPI 1184858821) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD443858) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of East Tennessee State University Quillen College Of Medicine (2009).

NPPES Registry Identity

NPI1184858821
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRYAN JAMES MCAULEYCredential: MD
Location Address3400 CIVIC CENTER BLVD, 2 WESTPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 2 WestPhiladelphia, PA 19104-5127 · (215) 662-2532
Phone(215) 662-2532
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2009
Enumeration DateMay 11, 2009
Last NPPES UpdateMay 2, 2019
✔ NPI 1184858821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD443858
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MD443858 (PA)
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan James Mcauley Md 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 ID7911147558
PECOS Enrollment IDI20130703000007
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ryan Mcauley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Hematology & Oncology
3400 CIVIC CENTER BLVD, 2ND FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1831443142 (Pennsylvania), NPI 1053447151 (Pennsylvania)
  • 373 clinicians in this Medicare group
NPI 1679677975 (215) 615-5858
Childrens Health Care Associates, Inc
0.1 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000
Trustees Of The University Of Pennsylvania
0.7 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 199 clinicians in this Medicare group
NPI 1124882949 (215) 662-8000
Tuba City Regional Health Care Corporation
1,944 mi
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1396921870 (928) 283-2781

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Mcauley's NPI number?

The NPI number for Ryan Mcauley is 1184858821. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Ryan Mcauley located?

Ryan Mcauley practices at 3400 Civic Center Blvd 2 West, Philadelphia, PA 19104. The listed phone number is (215) 662-2532.

What is Ryan Mcauley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ryan Mcauley enrolled in Medicare?

Yes. Ryan Mcauley 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.

Which organizations bill Medicare for Ryan Mcauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Mcauley reassigns Medicare benefits to 4 organizations: University Of Penn-Medical Group (Philadelphia, PA), Childrens Health Care Associates, Inc (Philadelphia, PA), Trustees Of The University Of Pennsylvania (Philadelphia, PA) and Tuba City Regional Health Care Corporation (Kykotsmovi, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Mcauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Mcauley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan Mcauley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Mcauley affiliated with any hospitals?

According to CMS data, Ryan Mcauley is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Ryan Mcauley was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.