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Active NPI 1700264777 Individual Practitioner Male Practitioner

Ryan Tait Vickers , PA-C, MMS

Physician Assistant • Simi Valley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Vickers, PA-C, MMS is a certified Physician Assistant practicing in Simi Valley, CA. With approximately 11 years of clinical experience since completing medical education in 2015, Ryan Vickers delivers high-quality medical care to the local community at 2975 SYCAMORE DR.

Ryan Vickers is affiliated with Synergy Observation Specialists Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2975 Sycamore Dr

Simi Valley, CA 930651201

Telephone 8059556000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Simi Valley, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -4.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Simi Valley, CA (14617 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vickers (11 Years) 11 Yrs
Simi Valley Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
55 55 $736.00 $101.93
99285 Emergency department visit for life threatening or functioning severity
20 18 $1173.00 $147.45

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 52475

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.

Hospital & Practice Group Affiliations

Synergy Observation Specialists Pc

2975 Sycamore Dr, Simi Valley, CA 930651201

Phone: 8059556000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Joyce Norman , MD

Emergency Medicine

NPI 1043252059

Doctor of Medicine (M.D.)

Neil Mcgrath

Respiratory Therapist, Certified - General Care

NPI 1144536541
Dr. Yuvraj Brar , MD

Internal Medicine

NPI 1215590989

Doctor of Medicine (M.D.)

Dr. Kelsey Schrage , DO

Emergency Medicine

NPI 1285213892

Doctor of Osteopathic Medicine (D.O.)

Dr. Virginia Valadka , MD

Emergency Medicine

NPI 1326089640

Doctor of Medicine (M.D.)

Michelle Boonthawesuk , RT

Respiratory Therapist, Certified - General Care

NPI 1326354390

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2015

Registered at 2975 SYCAMORE DR, SIMI VALLEY, CA 930651201 (Tel: 8059556000)

📍
Updated Business Mailing Address May 11, 2015

Registered at 2975 SYCAMORE DR, SIMI VALLEY, CA 930651201 (Tel: 8059556000)

👤
Provider Name / Credentials Updated May 11, 2015

Recorded as RYAN VICKERS, PA-C, MMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Physician Assistant (License #52475 in CA)

🟢
Initial NPI Registration & Enumeration May 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700264777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2015
Last Update: May 11, 2015
Sole Proprietor: No

Mailing Address

2975 Sycamore Dr

Simi Valley, CA 930651201

Phone: 8059556000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.