RYLEY ANDERSEN DPM
NPI 1528646940
Podiatrist - Foot & Ankle Surgery in Tulsa, OK

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
10109 E 79TH ST, TULSA, OK 74133(918) 233-9550 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2024, Mar 29, 2021 (2 updates tracked since 2021).

About Ryley Andersen Dpm NPPES

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

RYLEY ANDERSEN DPM (NPI 1528646940) is an individual foot & ankle surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (395) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Muscogee (creek) Nation Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528646940
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameRYLEY ANDERSENCredential: DPM
Location Address10109 E 79TH STTulsa, OK 74133-4564
Mailing Address10109 E 79th StTulsa, OK 74133-4564
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 22, 20242 updates tracked since enumeration
NPPES CertifiedJune 22, 2024
NPI 1528646940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OK · 395
10109 E 79TH ST, Tulsa, OK 74133

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

Ryley Andersen Dpm 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 ID2769928712
PECOS Enrollment IDI20240725003629, I20241002003894
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Muscogee (creek) Nation Medical Center

Acute Care Hospitals · Okmulgee, OK
OwnershipTribal
CMS Certification Number370057
Location1401 Morris DriveOkmulgee, OK 74447 · Okmulgee County
Emergency services

Council Oak Comprehensive Healthcare

Acute Care Hospitals · Tulsa, OK
OwnershipTribal
CMS Certification Number370244
Location10109 E 79th StTulsa, OK 74133 · Tulsa County

Creek Nation Community Hospital

Critical Access Hospitals · Okemah, OK
OwnershipTribal
CMS Certification Number371333
Location1800 E CoplinOkemah, OK 74859 · Okfuskee County
Emergency services

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.

Nurse Practitioner (Acute Care)
10109 E 79TH ST
TULSA, OK 74133
Registered Nurse
10109 E 79TH ST
TULSA, OK 74133
Specialist
10109 E 79TH ST
TULSA, OK 74133
Psychiatry & Neurology (Neurology)
10109 E 79TH ST
TULSA, OK 74133
Registered Nurse
10109 E 79TH ST
TULSA, OK 74133
Registered Nurse (Case Management)
10109 E 79TH ST
TULSA, OK 74133
Dietitian, Registered
10109 E 79TH ST
TULSA, OK 74133
Nurse Practitioner
10109 E 79TH ST
TULSA, OK 74133

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 Ryley Andersen's NPI number?

The NPI number for Ryley Andersen is 1528646940. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Ryley Andersen located?

Ryley Andersen practices at 10109 E 79th St, Tulsa, OK 74133. The listed phone number is (918) 233-9550.

What is Ryley Andersen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ryley Andersen enrolled in Medicare?

Yes. Ryley Andersen 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.

Is Ryley Andersen affiliated with any hospitals?

According to CMS data, Ryley Andersen is affiliated with Muscogee (creek) Nation Medical Center, Council Oak Comprehensive Healthcare and Creek Nation Community Hospital.

When was this NPI record last updated?

The NPPES record for Ryley Andersen was last updated on June 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.