RYAN JOHN SUPON PA-C
NPI 1467830083
Physician Assistant in Loveland, CO

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
302 3RD ST SE, LOVELAND, CO 80537(970) 669-4855(970) 350-4692 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Jun 20, 2018, Jun 14, 2018 and 1 more (4 updates tracked since 2018).

About Ryan John Supon Pa-c NPPES

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

RYAN JOHN SUPON PA-C (NPI 1467830083) is an individual physician assistant in Loveland, Colorado, licensed in Colorado (PA.0008927) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467830083
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN JOHN SUPONCredential: PA-C
Location Address302 3RD ST SELoveland, CO 80537-6419
Mailing Address302 3rd St SeLoveland, CO 80537-6419 · (970) 669-4855 · Fax (970) 350-4692
Fax(970) 350-4692
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 14, 2015
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1467830083 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 CO · PA.0008927
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.

302 3RD ST SE, Loveland, CO 80537

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 John Supon Pa-c 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 ID6709133143
PECOS Enrollment IDI20251210003405
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 80537 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%300 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dentist (General Practice)
302 3RD ST SE, 150
LOVELAND, CO 80537
Physician Assistant
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Family Medicine
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Physician Assistant
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Dentist
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Family Medicine
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Family Medicine
302 3RD ST SE, SUITE 150
LOVELAND, CO 80537
Physician Assistant
302 3RD ST SE, 150
LOVELAND, CO 80537

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 Supon's NPI number?

The NPI number for Ryan Supon is 1467830083. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Ryan Supon located?

Ryan Supon practices at 302 3rd St SE, Loveland, CO 80537. The listed phone number is (970) 669-4855.

What is Ryan Supon's specialty?

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

Is Ryan Supon enrolled in Medicare?

Yes. Ryan Supon 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.

When was this NPI record last updated?

The NPPES record for Ryan Supon was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.