Individual provider Active NPI

Ryan J Bisbey, MD

  • Ophthalmology Physician
  • Du Bois, PA
National Provider Identifier
1710178439
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD439018 Issued in PA
Practice address
529 Sunflower Dr
Du Bois, PA 15801-2378
Phone
(814) 371-2390
Fax
(814) 371-9532
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD439018 PA Primary
Ophthalmology Physician 207W00000X MT189009 PA

Addresses

Primary practice location

529 Sunflower Dr
Du Bois, PA 15801-2378

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2390

Other identifiers 1

IdentifierTypeStateIssuer
1025058480001MedicaidPA

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical Center 424 clinicians
Elk Regional Health Center 47 clinicians

Practice addresses (Care Compare)

529 Sunflower Dr
Suite 2
Du Bois, PA 15801-2378
Phone (814) 371-2390

765 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 781-3435

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000141 PA Practitioner - Ophthalmology 0749474468 Reassigns benefits to 2 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands DuboisBrookville, PA, CCN 393414 Rural health clinic Corporate Director Jul 1, 2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT189009PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Aug 1, 2010 Accepting new patients
Dubois Regional Medical Center Ophthalmology CurrentSince Aug 1, 2010 Accepting new patients
Elk Regional Health Center CurrentSince Jan 3, 2024 Accepting new patients
Elk Regional Health Center CurrentSince Jan 3, 2024 Accepting new patients
Elk Regional Health Center Past Accepting new patients
Clearfield Hospital PastSince Jul 1, 2019 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

807 Turnpike Ave
Ste 150
Clearfield, PA 16830
Phone (814) 768-8888

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

529 Sunflower Dr
Ste 2
Dubois, PA 15801

529 Sunflower Dr
Dubois, PA 15801
Phone (814) 371-1510

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

100 Hospital Ave
Ofc
Dubois, PA 15801

1049 N Front St
Philipsburg, PA 16866
Phone (814) 342-9186

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

765 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 781-3435

Interoperability endpoints

  • Direct secure messaging: rjbisbey@1285.direct.myezyaccess.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1710178439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-2390",
            "fax_number": "814-371-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SUNFLOWER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012378",
            "telephone_number": "814-371-2390",
            "fax_number": "814-371-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEY",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD439018",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT189009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025058480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.