DR. RYAN JAMES MIKAC D.O.
NPI 1346502689
Family Medicine in Amherst, NY

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
26.76/100
CMS Quality Rating
3980A SHERIDAN DR STE 200, AMHERST, NY 14226(716) 309-4772(716) 427-6333 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan James Mikac D.o. NPPES

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

DR. RYAN JAMES MIKAC D.O. (NPI 1346502689) is an individual family medicine provider in Amherst, New York, licensed in New York (299432) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1346502689
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RYAN JAMES MIKACCredential: D.O.
Location Address3980A SHERIDAN DR STE 200Amherst, NY 14226-1741
Mailing AddressPo Box 488Buffalo, NY 14240-0488 · (866) 853-9551 · Fax (203) 916-1041
Fax(716) 427-6333
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1346502689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 299432
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3980A SHERIDAN DR STE 200, Amherst, NY 14226

Secondary Practice Location 1

Location 18901 Wisconsin Ave, NCC- Internal Medicine ProgramBethesda, MD 20889-5600 · Phone (301) 319-8361

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. Ryan James Mikac D.o. 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 ID8628491487
PECOS Enrollment IDI20200713000944
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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
832 services331 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
317 services263 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.
22 services22 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
19 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

26.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost89.21

Referred Medical Equipment & Supplies CMS DME claims 6

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier23 claims46 services$61.16 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier25 claims142 services$24.96 avg. paid by Medicare
Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier11 claims11 services$27.41 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$34.24 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers100 claims101 services$11.69 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers63 claims64 services$4.94 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 13

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

Internal Medicine
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Nurse Practitioner (Family)
3980A SHERIDAN DR STE 200
BUFFALO, NY 14226
Nurse Practitioner (Adult Health)
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Internal Medicine (Hospice and Palliative Medicine)
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Physician Assistant
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Family Medicine
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Physician Assistant
3980A SHERIDAN DR STE 200
AMHERST, NY 14226
Physician Assistant (Medical)
3980A SHERIDAN DR STE 200
AMHERST, NY 14226

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 Mikac's NPI number?

The NPI number for Ryan Mikac is 1346502689. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Ryan Mikac located?

Ryan Mikac practices at 3980A Sheridan Dr Ste 200, Amherst, NY 14226. The listed phone number is (716) 309-4772.

What is Ryan Mikac's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Mikac enrolled in Medicare?

Yes. Ryan Mikac 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.

Is Ryan Mikac affiliated with any hospitals?

According to CMS data, Ryan Mikac is affiliated with Kaleida Health, Niagara Falls Memorial Medical Center and Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Mikac was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.