MR. RYNE EDWARD HARDESTY PA-C
NPI 1962241190
Physician Assistant in Louisville, KY

Q: What is Ryne Hardesty's NPI number?

The NPI number for Ryne Hardesty is 1962241190. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Ryne Hardesty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryne Hardesty was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 20, 2024PECOS EnrolledAccepts Medicare Assignment

3991 DUTCHMANS LN STE 405, LOUISVILLE, KY 40207(502) 629-2500 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Ryne Edward Hardesty Pa-c NPPES

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

MR. RYNE EDWARD HARDESTY PA-C (NPI 1962241190) is an individual physician assistant in Louisville, Kentucky and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962241190

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. RYNE EDWARD HARDESTYCredential: PA-C

Location Address3991 DUTCHMANS LN STE 405Louisville, KY 40207-4723

Mailing Address3991 Dutchmans Ln Ste 405Louisville, KY 40207-4723

Phone(502) 629-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 20, 2024

Last NPPES UpdateSeptember 19, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1962241190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3991 DUTCHMANS LN STE 405, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Ryne Edward Hardesty 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 ID9133651706

PECOS Enrollment IDI20241021002615

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.

Hospital Affiliations CMS Care Compare 2

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 17

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

DR. JOSEPH JAMES MALY M.D.

Internal Medicine (Hematology & Oncology)