RYAN DAVISSON
NPI 1215487830
Physician Assistant in Chicago, IL

Active since October 06, 2016PECOS Enrolled
100/100
CMS Quality Rating
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 257-5097 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Davisson NPPES

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

RYAN DAVISSON (NPI 1215487830) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.006015) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215487830
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN DAVISSON
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address1500 S Fairfield AveChicago, IL 60608-1782
Sole ProprietorYes
Enumeration DateOctober 6, 2016
NPI 1215487830 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 IL · 085.006015
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.

1500 S FAIRFIELD AVE, Chicago, IL 60608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Davisson 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 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.
67 services66 patients
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.
36 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Internal Medicine
1500 S FAIRFIELD AVE, AP
CHICAGO, IL 60608
Family Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
General Acute Care Hospital (Children)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Emergency Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 S FAIRFIELD AVE, F-908
CHICAGO, IL 60608
Internal Medicine
1500 S FAIRFIELD AVE, DEPARTMENT OF INTERNAL MEDICINE
CHICAGO, IL 60608
Registered Nurse (Diabetes Educator)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Radiology (Vascular & Interventional Radiology)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608

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 Davisson's NPI number?

The NPI number for Ryan Davisson is 1215487830. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Ryan Davisson located?

Ryan Davisson practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 257-5097.

What is Ryan Davisson's specialty?

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

Is Ryan Davisson enrolled in Medicare?

Yes. Ryan Davisson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Davisson was last updated on October 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.