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RYAN G WILLMORE PA-C
NPI 1750840138
Physician Assistant in Saint Anthony, ID

Active since March 15, 2019PECOS EnrolledAccepts Medicare Assignment
335 E MAIN ST STE 1, SAINT ANTHONY, ID 83445(208) 356-4900(208) 624-4116 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jun 9, 2020, Nov 6, 2019 and 1 more (4 updates tracked since 2019).

About Ryan G Willmore Pa-c NPPES

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

RYAN G WILLMORE PA-C (NPI 1750840138) is an individual physician assistant in Saint Anthony, Idaho, licensed in Idaho (PA-1802) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750840138
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN G WILLMORECredential: PA-C
Location Address335 E MAIN ST STE 1Saint Anthony, ID 83445-1546
Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4112
Phone(208) 356-4900
Fax(208) 624-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 15, 2019
Last NPPES UpdateOctober 8, 20244 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1750840138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1802
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
335 E MAIN ST STE 1, Saint Anthony, ID 83445
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13729 Woodking Dr Ste 1Idaho Falls, ID 83404-4720 · Phone (208) 356-4900 · Fax (208) 612-6118
Location 272 S 1st E Ste 101Rexburg, ID 83440-1965 · Phone (208) 356-4900 · Fax (208) 356-3724

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, University of Utah Health Plans.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

Ryan G Willmore 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 ID345673380
PECOS Enrollment IDI20191205002529
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
31 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services19 patients

Hospital Affiliations CMS Care Compare

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83445 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 9

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

MINDY JENSEN LCSW
Social Worker (Clinical)
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
MR. JACOB WAYNE MOSS M.D., J.D.
General Practice
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
AMBERLY GUYMON LMSW
Social Worker
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
WHITTNEY KAY MILLER FNP-C
Nurse Practitioner (Family)
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
DR. TREVOR GLADE WILDE D.O.
Family Medicine
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
ANDREW LOGAN BROWER PA-C
Physician Assistant
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
BRYCE DAVID WYLIE PA-C
Physician Assistant
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900
LARRY MILES BRADLEY LCSW
Social Worker (Clinical)
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445
Fremont County (208) 356-4900

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 Willmore's NPI number?

The NPI number for Ryan Willmore is 1750840138. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Ryan Willmore located?

Ryan Willmore practices at 335 E Main St Ste 1, Saint Anthony, ID 83445. The listed phone number is (208) 356-4900.

What is Ryan Willmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Willmore enrolled in Medicare?

Yes. Ryan Willmore 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 Willmore accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and University of Utah Health Plans list Ryan Willmore 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 Willmore affiliated with any hospitals?

According to CMS data, Ryan Willmore is affiliated with Madison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Willmore was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.