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RYAN GANNON
NPI 1376108423
Family Medicine in Jenkintown, PA

Active since May 03, 2019PECOS Enrolled
101 OLD YORK RD STE 201, JENKINTOWN, PA 19046(215) 248-8145 Get Directions Write a Review

NPPES record last updated: June 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, May 3, 2019 (2 updates tracked since 2019).

About Ryan Gannon NPPES

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

RYAN GANNON (NPI 1376108423) is an individual family medicine provider in Jenkintown, Pennsylvania, licensed in Pennsylvania (MD476373) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376108423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRYAN GANNON
Location Address101 OLD YORK RD STE 201Jenkintown, PA 19046-3912
Mailing Address8000 Germantown Ave Apt 2fPhiladelphia, PA 19118-3440
Phone(215) 248-8145
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateJune 26, 20222 updates tracked since enumeration
NPPES CertifiedJune 26, 2022
✔ NPI 1376108423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD476373
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.
101 OLD YORK RD STE 201, Jenkintown, PA 19046
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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 (PECOS)

Ryan Gannon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19046 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Gannon's NPI number?

The NPI number for Ryan Gannon is 1376108423. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Ryan Gannon located?

Ryan Gannon practices at 101 Old York Rd Ste 201, Jenkintown, PA 19046. The listed phone number is (215) 248-8145.

What is Ryan Gannon's specialty?

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

Is Ryan Gannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Gannon was last updated on June 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.