BRYAN LENNON RUYGROK PA-C
NPI 1265066047
Physician Assistant in Houston, TX

Active since March 02, 2020PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6414 FANNIN ST STE G150, HOUSTON, TX 77030(713) 486-7560(713) 486-7512 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Lennon Ruygrok Pa-c NPPES

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

BRYAN LENNON RUYGROK PA-C (NPI 1265066047) is an individual physician assistant in Houston, Texas, licensed in Texas (PA13485) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265066047
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN LENNON RUYGROKCredential: PA-C
Location Address6414 FANNIN ST STE G150Houston, TX 77030-1514
Mailing Address7550 Kirby Dr Apt 136Houston, TX 77030-4364 · (410) 971-7885
Fax(713) 486-7512
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
NPI 1265066047 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 TX · PA13485
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.

6414 FANNIN ST STE G150, Houston, TX 77030

Accepted Insurance

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

Bryan Lennon Ruygrok Pa-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 ID749619179
PECOS Enrollment IDI20200406000846
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 for problem of high severity 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.
28 services28 patients
Initial hospital inpatient care per day, typically 50 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.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Orthopaedic Surgery
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Orthopaedic Surgery (Orthopaedic Trauma)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Orthopaedic Surgery (Orthopaedic Trauma)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Orthopaedic Surgery (Orthopaedic Trauma)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Physician Assistant (Surgical)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Nurse Practitioner (Family)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Orthopaedic Surgery (Orthopaedic Trauma)
6414 FANNIN ST STE G150
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6414 FANNIN ST STE G150
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265066047, enumerated as an "individual" on March 02, 2020.

The provider is located at 6414 FANNIN ST STE G150 HOUSTON, TX 77030 and the phone number is (713) 486-7560.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Bryan Ruygrok is affiliated with: MEMORIAL HERMANN - TEXAS MEDICAL CENTER.