1. Home
  2. Directory
  3. New York
  4. Port Jefferson
  5. Physician Assistant
  6. NPI Profile

RYAN FUELLBIER PA-C
NPI 1477093383
Physician Assistant in Port Jefferson, NY

Active since February 27, 2017PECOS Enrolled
625 BELLE TERRE RD, 202, PORT JEFFERSON, NY 11777(631) 686-7990 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Fuellbier Pa-c NPPES

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

RYAN FUELLBIER PA-C (NPI 1477093383) is an individual physician assistant in Port Jefferson, New York, licensed in New York (020675) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477093383
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN FUELLBIERCredential: PA-C
Location Address625 BELLE TERRE RD, 202Port Jefferson, NY 11777-2316
Mailing Address625 Belle Terre Rd, 202Port Jefferson, NY 11777-2316
Phone(631) 686-7990
Sole ProprietorYes
Enumeration DateFebruary 27, 2017
✔ NPI 1477093383 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 NY · 020675
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.
625 BELLE TERRE RD, Port Jefferson, NY 11777
Open in Google Maps ↗

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 Fuellbier Pa-c 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 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 14

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

MICHELLE MARILYN CRADDOCK ANP
Family Medicine
625 BELLE TERRE RD, SUITE 119 PORT JEFFERSON MEDICAL ASSOC
PORT JEFFERSON, NY 11777
Suffolk County (631) 642-0609
DINESH SHUKLA MD
Psychiatry & Neurology (Neurology)
625 BELLE TERRE RD, SUITE 205
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-0776
JOHN T MATHER MEMORIAL HOSPITAL
Dietitian, Registered (Nutrition, Metabolic)
625 BELLE TERRE RD, SUITE 203
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7897
TINA JOSEPH M.D.
Surgery
625 BELLE TERRE RD, SUITE 202
PORT JEFFERSON, NY 11777
Suffolk County (631) 689-0220
S CHANDRA SHEKHER MD
Psychiatry & Neurology (Psychiatry)
625 BELLE TERRE RD, SUITE 211
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-3800
GEORGE C PETRO MD
Psychiatry & Neurology (Psychiatry)
625 BELLE TERRE RD, SUITE 205
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-4753
NORTH SUFFOLK SURGICAL ASSOC
Specialist
625 BELLE TERRE RD, SUITE 201
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-0707
SASHI SHUKLA MD
Psychiatry & Neurology (Psychiatry)
625 BELLE TERRE RD, SUITE 205
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-4753

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 Fuellbier's NPI number?

The NPI number for Ryan Fuellbier is 1477093383. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Ryan Fuellbier located?

Ryan Fuellbier practices at 625 Belle Terre Rd 202, Port Jefferson, NY 11777. The listed phone number is (631) 686-7990.

What is Ryan Fuellbier's specialty?

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

Is Ryan Fuellbier enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Fuellbier was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.