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RYAN AVERETT DPM PC
NPI 1679514186
Podiatrist - Foot & Ankle Surgery in Coeur D Alene, ID

Active since June 08, 2006
2221 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814(208) 667-3585(855) 864-8364 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017 (2 updates tracked since 2017).

About Ryan Averett Dpm Pc NPPES

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

RYAN AVERETT DPM PC (NPI 1679514186) is a healthcare organization registered as a foot & ankle surgery in Coeur D Alene, Idaho and active in the NPI registry since June 2006. The organization lists Ryan Kenneth Averett, President, as its authorized official.

NPPES Registry Identity

NPI1679514186
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameRYAN AVERETT DPM PC
Location Address2221 W IRONWOOD CENTER DRCoeur D Alene, ID 83814-2697
Mailing Address1118 N 4th StCoeur D Alene, ID 83814-3217 · (208) 667-3585 · Fax (208) 666-9214
Phone(208) 667-3585
Fax(855) 864-8364
Organization SubpartNo
Authorized OfficialRyan Kenneth AverettPresident · (208) 661-0295
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679514186 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 ID · P177
2221 W IRONWOOD CENTER DR, Coeur D Alene, ID 83814
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Averett Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20070123000445Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ryan Averett DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Averett, D.P.M.
Podiatry
NPI 1629065610
2221 N IRONWOOD CENTER DR
Coeur D Alene, ID 83814
(208) 667-3585
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Averett Dpm PC's NPI number?

The NPI number for Ryan Averett Dpm PC is 1679514186. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Ryan Averett Dpm PC located?

Ryan Averett Dpm PC is located at 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 667-3585.

What is Ryan Averett Dpm PC's specialty?

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

Is Ryan Averett Dpm PC enrolled in Medicare?

Yes. Ryan Averett Dpm PC is registered in the Medicare PECOS enrollment system.

When is Ryan Averett Dpm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ryan Averett Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ryan Averett Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ryan Averett Dpm PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ryan Averett Dpm PC 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.

When was this NPI record last updated?

The NPPES record for Ryan Averett Dpm PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.