DR. ANDREW RYAN MCNAMARA M.D.
NPI 1265727937
Orthopaedic Surgery in Mankato, MN

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
98.12/100
CMS Quality Rating
1431 PREMIER DR, MANKATO, MN 56001(507) 386-6600(507) 386-0252 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2020, Sep 25, 2019, Aug 1, 2018 (3 updates tracked since 2018).

About Dr. Andrew Ryan Mcnamara M.d. NPPES

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

DR. ANDREW RYAN MCNAMARA M.D. (NPI 1265727937) is an individual orthopaedic surgery provider in Mankato, Minnesota, licensed in Minnesota (63358) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Windom Area Health, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).

NPPES Registry Identity

NPI1265727937
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANDREW RYAN MCNAMARACredential: M.D.
Location Address1431 PREMIER DRMankato, MN 56001
Mailing Address1431 Premier DrMankato, MN 56001-6076 · (507) 386-6600 · Fax (507) 386-0252
Fax(507) 386-0252
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateFebruary 27, 20203 updates tracked since enumeration
NPI 1265727937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MN · 63358
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 63358 (MN)
1431 PREMIER DR, Mankato, MN 56001

Other Identifiers 9

Other1265727937MN · Mayo Clinic Health Solutions
Other1265727937MN · Ucare
Other1265727937MN · Health Partners
Other1265727937MN · Preferred One
Other1265727937MN · Primewest
Other1265727937MN · Bcbs Of Mn
Other1265727937MN · Medica
Other1265727937MN · Corvel
Medicaid1265727937MN

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

Dr. Andrew Ryan Mcnamara M.d. 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 ID648572198
PECOS Enrollment IDI20180628000452
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 23

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
352 services86 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.
156 services129 patients
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 services102 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
79 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services50 patients

Hospital Affiliations CMS Care Compare 5

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

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN
OwnershipGovernment - Local
CMS Certification Number241334
Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County
Emergency services

Centracare - Redwood

Critical Access Hospitals · Redwood Falls, MN
OwnershipGovernment - Local
CMS Certification Number241351
Location101 Caring WayRedwood Falls, MN 56283 · Redwood County
Emergency services Birthing friendly

United Hospital District

Critical Access Hospitals · Blue Earth, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241369
Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County
Emergency services

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

98.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.3
Promoting Interoperability85
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
87%154 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%2,093 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%506 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 1,089 patients
Patients screened: 83% · 1,089 patients
73%130 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
73%709 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%118 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%538 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier24 claims27 services$50.83 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$205.50 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier12 claims14 services$64.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Orthopaedic Surgery
1431 PREMIER DR
MANKATO, MN 56001
Specialist/Technologist (Athletic Trainer)
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Physical Therapist
1431 PREMIER DR
MANKATO, MN 56001
Specialist/Technologist (Athletic Trainer)
1431 PREMIER DR
MANKATO, MN 56001

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 Andrew Mcnamara's NPI number?

The NPI number for Andrew Mcnamara is 1265727937. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Andrew Mcnamara located?

Andrew Mcnamara practices at 1431 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 386-6600.

What is Andrew Mcnamara's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Mcnamara enrolled in Medicare?

Yes. Andrew Mcnamara 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.

What insurance does Andrew Mcnamara accept?

Health plans from Medica and Sanford Health Plan list Andrew Mcnamara 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 Andrew Mcnamara affiliated with any hospitals?

According to CMS data, Andrew Mcnamara is affiliated with Windom Area Health, River's Edge Hospital & Clinic, Centracare - Redwood, United Hospital District and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Mcnamara was last updated on February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.