Ryan Paul Balthaser, PA
Individual provider Active NPI Physician Assistant · Gardner, MA
NPI 1124569710 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1124569710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA6065 (MA)
- Practice address
- 725 Timpany Blvd
Gardner, MA 01440-3453 - Phone
- (978) 632-8100
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tricia Vorderstrasse MD PC
Practice addresses (Care Compare)
725 Timpany Blvd
Gardner, MA 01440-3453
Phone 97863281005
Hospital & facility affiliations
- Heywood Hospital -
- Athol Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170417001425 | MA | Practitioner - Physician Assistant | 1759667298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- rbalthaser@tvmd.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6065 | MA | Yes |
Addresses
Primary practice location
725 Timpany Blvd
Gardner, MA 01440-3453
Mailing address
725 Timpany Blvd
Gardner, MA 01440-3453
Phone (978) 632-8100
Other providers in Gardner, MA
- Barbara Aucoin
- Amy Lee Avery
- Michael O. Azzoni
- Connie Babin
- Karen Baker Oconnor
- Cheryl Barber
- Melanie M Barber
- Colleen Barbosa
- Kaitlyn Nicole Baron
- Tracey Ann Barrows
All providers in Gardner, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.