NPIMap

Individual provider Active NPI

Ryan W Schafer, DO

  • Family Medicine Physician
  • Ardmore, OK
National Provider Identifier
1780650606
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4352 Issued in OK
Practice address
800 Isabel St
Ardmore, OK 73401-5118
Phone
(580) 223-5432
Fax
(580) 223-6076
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4352 OK Primary

Addresses

Primary practice location

800 Isabel St
Ardmore, OK 73401-5118

Mailing address

800 Isabel St
Ardmore, OK 73401-5118
Phone (580) 223-5432

Other identifiers 2

IdentifierTypeStateIssuer
4352OtherOKSTATE MEDICAL LICENSE
200109030AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000389 OK Practitioner - Family Practice 6002818309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Isabel St
Ardmore, OK 73401-5118
Phone (580) 223-5432

800 Isabel St SW
Ardmore, OK 73401-5118

Hospital & facility affiliations

  • Ideal Home Care, L.P. Home health agency, Ardmore, OK, CCN 377678
  • Elara Caring Xxiii Home health agency, Ada, OK, CCN 377568
  • Mays Housecall Home Health of Durant Home health agency, Durant, OK, CCN 377748
  • Traditions Health of Purcell Home health agency, Purcell, OK, CCN 377520
  • Elara Caring Xxiii Hospice, Ada, OK, CCN 371597
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as apm
Quality
58.35
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4352OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhea Buycks PA LLC Family Medicine PastSince Aug 1, 2022 Accepting new patients
Homestead Allergy LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Elara Caring XxiiiAda, OK, CCN 371597 Hospice Contracted Managing Employee Jul 1, 2019

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1780650606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ISABEL ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015118",
            "telephone_number": "580-223-5432",
            "fax_number": "580-223-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ISABEL ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015118",
            "telephone_number": "580-223-5432",
            "fax_number": "580-223-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "RYAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "4352",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.