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ETHAN LEROY SNYDER PA
NPI 1508595729
Physician Assistant in Upland, CA

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
585 N MOUNTAIN AVE STE A, UPLAND, CA 91786(909) 608-7546 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2024, Jun 6, 2022 (2 updates tracked since 2022).

About Ethan Leroy Snyder Pa NPPES

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

ETHAN LEROY SNYDER PA (NPI 1508595729) is an individual physician assistant in Upland, California, licensed in California (PA63622) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508595729
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN LEROY SNYDERCredential: PA
Location Address585 N MOUNTAIN AVE STE AUpland, CA 91786-8516
Mailing Address101 E Redlands Blvd Ste 284Redlands, CA 92373-4721 · (909) 312-7380
Phone(909) 608-7546
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2022
Last NPPES UpdateJanuary 6, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2024
✔ NPI 1508595729 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 CA · PA63622
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.
585 N MOUNTAIN AVE STE A, Upland, CA 91786
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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

Ethan Leroy Snyder Pa 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 ID2365892395
PECOS Enrollment IDI20240103000728
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
195 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services44 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
40 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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

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

LOUIS PHAM FNP-C
Nurse Practitioner (Family)
585 N MOUNTAIN AVE STE A
UPLAND, CA 91786
San Bernardino County (909) 500-4574

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 Ethan Snyder's NPI number?

The NPI number for Ethan Snyder is 1508595729. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Ethan Snyder located?

Ethan Snyder practices at 585 N Mountain Ave Ste A, Upland, CA 91786. The listed phone number is (909) 608-7546.

What is Ethan Snyder's specialty?

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

Is Ethan Snyder enrolled in Medicare?

Yes. Ethan Snyder 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 Ethan Snyder was last updated on January 6, 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.