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

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: August 02, 2026.

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

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, is affiliated with Saint Alphonsus Medical Center - Nampa, 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., PacificSource Health Plans, Providence Health Plan.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 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.

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

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.

What insurance does Ryan Pettit accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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.

Is Ryan Pettit affiliated with any hospitals?

According to CMS data, Ryan Pettit is affiliated with Saint Alphonsus Medical Center - Nampa.

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.