RYAN PETTIT DO
NPI 1487092292
Obstetrics & Gynecology in Nampa, ID

Q: What is Ryan Pettit's NPI number?

The NPI number for Ryan Pettit is 1487092292. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Q: What is Ryan Pettit's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Pettit was last updated on July 21, 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.

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment

4424 E FLAMINGO, STE 200, NAMPA, ID 83687(208) 302-1400(208) 302-1455 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

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About Ryan Pettit Do NPPES

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

RYAN PETTIT DO (NPI 1487092292) is an individual obstetrics & gynecology provider in Nampa, Idaho, licensed in Idaho (O-1017) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487092292

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameRYAN PETTITCredential: DO

Location Address4424 E FLAMINGO, STE 200Nampa, ID 83687

Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-1400 · Fax (208) 302-1455

Phone(208) 302-1400

Fax(208) 302-1455

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJune 13, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1487092292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in ID · O-1017✔ Licensed in MO · 2013017878

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4424 E FLAMINGO, Nampa, ID 83687

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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

Ryan Pettit Do 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 ID8224257241

PECOS Enrollment IDI20170630002023

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.

Medicare Billing Reassignments

Medicare enrollment records show Ryan Pettit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifestages Ob-Gyn PLLC

0.3 mi

Obstetrics & Gynecology

3908 E FLAMINGO AVE
Nampa, ID 83687

Reassigned Medicare billing, Idaho enrollment
7 clinicians in this Medicare group

NPI 1871618892 (208) 442-8035

Saint Alphonsus Regional Medical Center Inc

8.4 mi

Family Medicine

712 AVIATION WAY
Caldwell, ID 83605

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1861676298 (208) 302-1000

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 83687 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

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 2

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

ELI J HARRIS MD

Anesthesiology (Pain Medicine)

4424 E FLAMINGO, STE 310
NAMPA, ID 83687

Canyon County (208) 302-3760

DR. ANDREW DAVID MICHAELS M.D.

Internal Medicine (Interventional Cardiology)

4424 E FLAMINGO, AVE STE 300
NAMPA, ID 83687

Canyon County (208) 302-0200

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 Pettit's NPI number?

The NPI number for Ryan Pettit is 1487092292. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Ryan Pettit located?

Ryan Pettit practices at 4424 E Flamingo Ste 200, Nampa, ID 83687. The listed phone number is (208) 302-1400.

What is Ryan Pettit's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ryan Pettit enrolled in Medicare?

Yes. Ryan Pettit 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 Pettit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Pettit reassigns Medicare benefits to 2 organizations: Lifestages Ob-Gyn PLLC (Nampa, ID) and Saint Alphonsus Regional Medical Center Inc (Caldwell, ID). 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 Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Pettit accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Ryan Pettit 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 Pettit was last updated on July 21, 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.