RYAN DEKENIPP PHYSICIAN ASSISTANT
NPI 1306550140
Physician Assistant in Bay Shore, NY

Q: What is Ryan Dekenipp's NPI number?

The NPI number for Ryan Dekenipp is 1306550140. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Q: What is Ryan Dekenipp's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Dekenipp was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment

340 HOWELLS RD STE 2B, BAY SHORE, NY 11706(833) 547-7463(631) 318-9830 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2024, Jan 20, 2023, Jan 6, 2023 (3 updates tracked since 2023).

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About Ryan Dekenipp Physician Assistant NPPES

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

RYAN DEKENIPP PHYSICIAN ASSISTANT (NPI 1306550140) is an individual physician assistant in Bay Shore, New York, licensed in New York (363A00000X) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306550140

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRYAN DEKENIPPCredential: PHYSICIAN ASSISTANT

Location Address340 HOWELLS RD STE 2BBay Shore, NY 11706-5322

Mailing Address100 Motor Pkwy Ste Ll8Hauppauge, NY 11788-5165 · (833) 547-7463 · Fax (631) 248-5583

Phone(833) 547-7463

Fax(631) 318-9830

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 6, 2023

Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1306550140 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 NY · 363A00000X

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.

340 HOWELLS RD STE 2B, Bay Shore, NY 11706

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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 and accepts Medicare assignment

Ryan Dekenipp Physician Assistant 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 ID7416321963

PECOS Enrollment IDI20230323001263

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

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 low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

34 services32 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 5

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

SAGAMORE MEDICAL PLLC

Pain Medicine (Interventional Pain Medicine)