RYAN KEOGH PALERMO PA-C
NPI 1477310639
Physician Assistant in Lake Charles, LA

Q: What is Ryan Palermo's NPI number?

The NPI number for Ryan Palermo is 1477310639. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Q: What is Ryan Palermo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Palermo was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 04, 2024PECOS EnrolledAccepts Medicare Assignment

1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601(337) 494-4900(337) 494-4947 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Mar 4, 2024 (2 updates tracked since 2024).

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About Ryan Keogh Palermo Pa-c NPPES

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

RYAN KEOGH PALERMO PA-C (NPI 1477310639) is an individual physician assistant in Lake Charles, Louisiana, licensed in Louisiana (340419) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Mississippi Medical College (2023).

NPPES Registry Identity

NPI1477310639

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRYAN KEOGH PALERMOCredential: PA-C

Location Address1717 OAK PARK BLVD FL 3Lake Charles, LA 70601-8990

Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 494-4900

Fax(337) 494-4947

Sole ProprietorNo

Medical School CMSMississippi Medical CollegeGraduated 2023

Enumeration DateMarch 4, 2024

Last NPPES UpdateJune 11, 20242 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1477310639 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 LA · 340419

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.

1717 OAK PARK BLVD FL 3, Lake Charles, LA 70601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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 Keogh Palermo 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 ID8527409697

PECOS Enrollment IDI20240508000276

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

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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.

HAILEY CRAWFORD ESPARZA RD

Dietitian, Registered