DR. RYAN DAVID HORAZDOVSKY M.D.
NPI 1417196148
Orthopaedic Surgery in Shakopee, MN
About Dr. Ryan David Horazdovsky M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN DAVID HORAZDOVSKY M.D. (NPI 1417196148) is an individual orthopaedic surgery provider in Shakopee, Minnesota, licensed in Minnesota (51370) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burnsville, and is a graduate of University Of Minnesota Medical School (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ryan David Horazdovsky 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ryan Horazdovsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAKOPEE, MN 55379
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 Horazdovsky's NPI number?
The NPI number for Ryan Horazdovsky is 1417196148. It was assigned to this individual provider in the NPPES registry on February 19, 2009.
Where is Ryan Horazdovsky located?
Ryan Horazdovsky practices at 1700 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 831-8742.
What is Ryan Horazdovsky's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ryan Horazdovsky enrolled in Medicare?
Yes. Ryan Horazdovsky 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.
Which organizations bill Medicare for Ryan Horazdovsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Horazdovsky reassigns Medicare benefits to 3 organizations: Tria Orthopaedic Center LLC (Bloomington, MN), Park Nicollet Methodist Hospital (St Louis Park, MN) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Horazdovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Horazdovsky accept?
Health plans from HealthPartners, Medica and Moda Health Plan, Inc. list Ryan Horazdovsky 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.
When was this NPI record last updated?
The NPPES record for Ryan Horazdovsky was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ryan David Horazdovsky, M.D. · NPI 1417196148
Orthopaedic Surgery physician in Shakopee, Minnesota. Individual provider, active in the CMS NPPES registry since February 19, 2009.
## Identity
- **NPI:** 1417196148 (Entity type: Individual)
- **Enumerated:** February 19, 2009
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 51370 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 SAINT FRANCIS AVE, Shakopee, MN 55379-5582
- **Phone:** (952) 831-8742
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tria Orthopaedic Center LLC (NPI 1346624384, Bloomington, MN); Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2009
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417196148) · Data from the CMS NPPES public registry.