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DR. RYAN P DEMBOSKY MD
NPI 1679204937
Radiology - Diagnostic Radiology in Springfield, IL

Active since June 17, 2022PECOS Enrolled
800 E CARPENTER STREET, SPRINGFIELD, IL 62769(217) 545-8000(217) 545-4735 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan P Dembosky Md NPPES

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

DR. RYAN P DEMBOSKY MD (NPI 1679204937) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (125.0080678) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679204937
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RYAN P DEMBOSKYCredential: MD
Location Address800 E CARPENTER STREETSpringfield, IL 62769
Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-4735
Phone(217) 545-8000
Fax(217) 545-4735
Sole ProprietorNo
Enumeration DateJune 17, 2022
Last NPPES UpdateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1679204937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IL · 125.0080678
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
800 E CARPENTER STREET, Springfield, IL 62769
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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 (PECOS)

Dr. Ryan P Dembosky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

DR. MARISSA HERNANDEZ MD
Radiology (Diagnostic Radiology)
800 E CARPENTER STREET, BOX 43
SPRINGFIELD, IL 62769
Sangamon County (217) 814-5178

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 Dembosky's NPI number?

The NPI number for Ryan Dembosky is 1679204937. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Ryan Dembosky located?

Ryan Dembosky practices at 800 E Carpenter Street, Springfield, IL 62769. The listed phone number is (217) 545-8000.

What is Ryan Dembosky's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ryan Dembosky enrolled in Medicare?

Yes. Ryan Dembosky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Dembosky was last updated on June 23, 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.