MR. RYAN TODD PORTER PA-C
NPI 1669556213
Physician Assistant - Surgical in Blackfoot, ID

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-4100 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ryan Todd Porter Pa-c NPPES

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

MR. RYAN TODD PORTER PA-C (NPI 1669556213) is an individual surgical provider in Blackfoot, Idaho, licensed in Idaho (PA-827) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1669556213
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RYAN TODD PORTERCredential: PA-C
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 30, 2009
NPI 1669556213 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
Licenses Licensed in ID · PA-827 Licensed in MT · 447
98 POPLAR ST, Blackfoot, ID 83221

Other Identifiers 4

Medicaid4307719MT
Medicare ID-Type Unspecified000085185MT
Medicare UPINQ65233MT
Medicaid808517600ID

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 Todd Porter Pa-c 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 ID4587671151
PECOS Enrollment IDI20100125000810
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 2

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
73 services66 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
35 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham 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.

Physician Assistant (Surgical)
98 POPLAR ST
BLACKFOOT, ID 83221
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221

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 Porter's NPI number?

The NPI number for Ryan Porter is 1669556213. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Ryan Porter located?

Ryan Porter practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.

What is Ryan Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ryan Porter enrolled in Medicare?

Yes. Ryan Porter 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 Porter accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Ryan Porter 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 Porter affiliated with any hospitals?

According to CMS data, Ryan Porter is affiliated with Portneuf Medical Center, Mountain View Hospital and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Porter was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.