DR. RYAN HOLIDAY OD
NPI 1720712854
Optometrist in Albuquerque, NM
About Dr. Ryan Holiday Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN HOLIDAY OD (NPI 1720712854) is an individual optometrist in Albuquerque, New Mexico, licensed in New Mexico (OPT-2023-0001) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ryan Holiday Od 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Holiday reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, Texas enrollment
- 133 clinicians in this Medicare group
Isleta, NM 87022
- Reassigned Medicare billing, New Mexico enrollment
- 24 clinicians in this Medicare group
Bernalillo, NM 87004
- Reassigned Medicare billing, Texas enrollment
- 65 clinicians in this Medicare group
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ALBUQUERQUE, NM 87105
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 Holiday's NPI number?
The NPI number for Ryan Holiday is 1720712854. It was assigned to this individual provider in the NPPES registry on July 14, 2022.
Where is Ryan Holiday located?
Ryan Holiday practices at 1 Sagebrush St SW, Albuquerque, NM 87105. The listed phone number is (505) 869-4080.
What is Ryan Holiday's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ryan Holiday enrolled in Medicare?
Yes. Ryan Holiday 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.
Which organizations bill Medicare for Ryan Holiday's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Holiday reassigns Medicare benefits to 4 organizations: Albuquerque Indian Health Center (Albuquerque, NM), Pueblo Of Isleta (Isleta, NM), Santa Ana Health Center (Bernalillo, NM) and Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM). Each 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 Ryan Holiday's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Holiday was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Ryan Holiday, OD · NPI 1720712854
Optometrist provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 14, 2022.
## Identity
- **NPI:** 1720712854 (Entity type: Individual)
- **Enumerated:** July 14, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT-2023-0001 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 SAGEBRUSH ST SW, Albuquerque, NM 87105-3942
- **Phone:** (505) 869-4080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Albuquerque Indian Health Center (NPI 1659458917, Albuquerque, NM); Pueblo Of Isleta (NPI 1194738328, Isleta, NM); Santa Ana Health Center (NPI 1649331323, Bernalillo, NM); Dhhs,phs,naihs,gallup Indian Medical Center (NPI 1245409960, Gallup, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2022
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720712854) · Data from the CMS NPPES public registry.