DR. RYAN NIGHTINGALE MD
NPI 1659937985
Family Medicine in Wellsville, NY

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
81.86/100
CMS Quality Rating
12 MARTIN ST, WELLSVILLE, NY 14895(585) 593-4250(855) 593-2465 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2023, May 13, 2019 (2 updates tracked since 2019).

About Dr. Ryan Nightingale Md NPPES

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

DR. RYAN NIGHTINGALE MD (NPI 1659937985) is an individual family medicine provider in Wellsville, New York, licensed in New York (315910) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659937985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RYAN NIGHTINGALECredential: MD
Location Address12 MARTIN STWellsville, NY 14895-1057
Mailing Address191 N Main StWellsville, NY 14895-1150 · (585) 593-1100 · Fax (585) 596-4005
Fax(855) 593-2465
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
NPI 1659937985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 315910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 315910 (NY)
12 MARTIN ST, Wellsville, NY 14895

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

Dr. Ryan Nightingale Md 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 ID6103292859
PECOS Enrollment IDI20221020001394
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 9

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.

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.
299 services202 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.
268 services162 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
158 services158 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services29 patients
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.
19 services19 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14895 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.82
Promoting Interoperability100
Improvement Activities40
Cost43.82

Other Providers at the Same Location NPPES 14

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

Technician/Technologist (Optician)
12 MARTIN ST
WELLSVILLE, NY 14895
Family Medicine
12 MARTIN ST
WELLSVILLE, NY 14895
Dentist
12 MARTIN ST
WELLSVILLE, NY 14895
Ophthalmology
12 MARTIN ST
WELLSVILLE, NY 14895
Ophthalmology
12 MARTIN ST
WELLSVILLE, NY 14895
Nurse Practitioner (Family)
12 MARTIN ST
WELLSVILLE, NY 14895
Psychologist
12 MARTIN ST, SUITE 3
WELLSVILLE, NY 14895
Radiologic Technologist (Sonography)
12 MARTIN ST
WELLSVILLE, NY 14895

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 Nightingale's NPI number?

The NPI number for Ryan Nightingale is 1659937985. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Ryan Nightingale located?

Ryan Nightingale practices at 12 Martin St, Wellsville, NY 14895. The listed phone number is (585) 593-4250.

What is Ryan Nightingale's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Nightingale enrolled in Medicare?

Yes. Ryan Nightingale 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 Ryan Nightingale affiliated with any hospitals?

According to CMS data, Ryan Nightingale is affiliated with Jones Memorial Hospital, St James Mercy Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Nightingale was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.