NPIMap

Individual provider Active NPI

Ryan Dallas Hancox, D.O.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1982040168
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017496 Issued in PA
Practice address
153 E 13TH St Ste 1300
Erie, PA 16503-1035
Phone
(144) 525-0818
Fax
(814) 452-7918
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT015440 PA
Family Medicine Physician 207Q00000X OS017496 PA Primary

Addresses

Primary practice location

153 E 13TH St Ste 1300
Erie, PA 16503-1035

Mailing address

153 E 13TH St Ste 1300
Erie, PA 16503-1035
Phone (814) 452-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160909001457 PA Practitioner - Family Practice 5193020709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

153 E 13TH St
1300 Post Acute Care Services
Erie, PA 16503-1035
Phone (814) 452-5081

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015440PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Associates LLC CurrentSince Jun 11, 2016 Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jan 12, 2022 Accepting new patients
Personal Care Medical Associates, LLC Family Medicine Current Accepting new patients
Presbyterian Homes in the Presbytery of Lake Erie Past Accepting new patients
HCF of Fairview, Inc. Past Accepting new patients
Pleasant Ridge Manor Past Accepting new patients
Erie SNF Operations LLC Past Accepting new patients
Saint Mary's Home of Erie Past Accepting new patients
The Ball Pavilion Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

8300 Ridge Rd
Girard, PA 16417
Phone (814) 474-5521

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Interoperability endpoints

  • Direct secure messaging: rhancox450250@direct.ahn.org

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
Interim Healthcare Hospice of ErieErie, PA, CCN 391786 Hospice Contracted Managing Employee Jun 1, 2024

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 9

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 12

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1982040168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E 13TH ST STE 1300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031035",
            "telephone_number": "814-452-5081",
            "fax_number": "814-452-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E 13TH ST STE 1300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031035",
            "telephone_number": "144-525-0818",
            "fax_number": "814-452-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOX",
        "first_name": "RYAN",
        "middle_name": "DALLAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015440",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.