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BRANDON RYSAVY D.O.
NPI 1396154381
Internal Medicine in Boise, ID

Active since August 05, 2014PECOS Enrolled
500 W. FORT ST., # 111, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Rysavy D.o. NPPES

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

BRANDON RYSAVY D.O. (NPI 1396154381) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (O-1196) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396154381
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRANDON RYSAVYCredential: D.O.
Location Address500 W. FORT ST., # 111Boise, ID 83702
Mailing Address500 W. Fort St., # 111Boise, ID 83702 · (208) 422-1000 · Fax (208) 422-1319
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorYes
Enumeration DateAugust 5, 2014
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1396154381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · O-1196✔ Licensed in WV · ED0475A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 W. FORT ST., Boise, ID 83702
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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)

Brandon Rysavy D.o. 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 83702 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims7,307 services$1.16 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.

MRS. APRIL MICHELLE THORNDYKE LCSW
Community/Behavioral Health
500 W. FORT ST.
BOISE, ID 83702
Ada County (208) 422-1000
DR. JANAT E. O'DONNELL MD
Internal Medicine (Pulmonary Disease)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1325
MS. SUE MARIE HICKS LCSW, CADC III
Counselor (Addiction (Substance Use Disorder))
500 W. FORT ST., BOISE VAMC
BOISE, ID 83702
Ada County (208) 422-1360
DR. ERIC S JACOBSEN M.D.
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
TIMOTHY RICHARD MOORE MD
Internal Medicine (Cardiovascular Disease)
500 W. FORT ST., #111
BOISE, ID 83702
Ada County (208) 422-1000
DANIELLE BURKE PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
SCOTT SMITH MD
Internal Medicine
500 W. FORT ST., VA MEDICAL CENTER
BOISE, ID 83702
Ada County (208) 422-1325
BEATRIZ C.S. SPENCER PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000

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 Brandon Rysavy's NPI number?

The NPI number for Brandon Rysavy is 1396154381. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Brandon Rysavy located?

Brandon Rysavy practices at 500 W. Fort St. # 111, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Brandon Rysavy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brandon Rysavy enrolled in Medicare?

Yes. Brandon Rysavy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Rysavy was last updated on March 15, 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.