MR. RYAN J MATHER PAC
NPI 1619912805
Physician Assistant - Surgical in Bellevue, WA

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
1231 116TH AVE NE, SUITE 750, BELLEVUE, WA 98004(425) 455-3600(425) 455-3920 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ryan J Mather Pac NPPES

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

MR. RYAN J MATHER PAC (NPI 1619912805) is an individual surgical provider in Bellevue, Washington, licensed in Washington (PA10004291) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619912805
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RYAN J MATHERCredential: PAC
Location Address1231 116TH AVE NE, SUITE 750Bellevue, WA 98004-3804
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Fax(425) 455-3920
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 15, 2012
NPI 1619912805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA10004291
1231 116TH AVE NE, Bellevue, WA 98004

Other Identifiers 4

OtherG8861207WA · Medicare Posm
Medicare UPINP57879WA
Other0159543WA · L & I
OtherG8876711WA · Medicare Emri

Accepted 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

Mr. Ryan J Mather Pac 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 ID4880699180
PECOS Enrollment IDI20060920000123
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 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.
74 services65 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
53 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services25 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
28 services27 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
21 services19 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
20 services20 patients

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.

Orthopaedic Surgery
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Orthopaedic Surgery
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Physician Assistant (Surgical)
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Physician Assistant (Surgical)
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Physician Assistant
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Orthopaedic Surgery
1231 116TH AVE NE, SUITE 100
BELLEVUE, WA 98004
Orthopaedic Surgery
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004
Physician Assistant (Surgical)
1231 116TH AVE NE, SUITE 750
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619912805, enumerated as an "individual" on June 19, 2006.

The provider is located at 1231 116TH AVE NE SUITE 750 BELLEVUE, WA 98004 and the phone number is (425) 455-3600.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.