Active NPI 1932517166 Individual Practitioner Male Practitioner

Ryan P Hentkowski , PA-C

Physician Assistant • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Ryan Hentkowski, PA-C is a certified Physician Assistant practicing in St Augustine, FL. With approximately 12 years of clinical experience since completing medical education in 2014, Ryan Hentkowski delivers high-quality medical care to the local community at 45 GROOVER LOOP STE 201.

Ryan Hentkowski maintains professional affiliations with Southeast Orthopedic Specialists Llc, Lake Area Physical Therapy Inc., Effingham Rehab Services, Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Groover Loop Ste 201

St Augustine, FL 320866586

Telephone 9046340640

Fax 9046340203

Associated Practice Facility / Clinic

🏢 Southeast Orthopedic Specialists, Llc Facility NPI 1730815184

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Augustine, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

41 Specialists

Practicing in St Augustine, FL (10376 Statewide)

Telehealth Adoption Rate

2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hentkowski (12 Years) 12 Yrs

St Augustine Specialty Average (11.1 Years) 11.1 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
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	2,592	44	$51.69	$17.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	630	192	$21.63	$6.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	460	91	$4.13	$0.93
99213 Established patient office or other outpatient visit, typically 15 minutes	344	270	$273.96	$74.28
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	293	207	$322.88	$87.86
73030 X-ray of shoulder, minimum of 2 views	190	135	$100.73	$27.68
20610 Aspiration and/or injection of fluid from large joint	181	84	$285.91	$62.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	64	$389.10	$104.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$338.43	$91.39
73564 X-ray of knee, 4 or more views	41	33	$134.16	$37.93
29827 Repair of shoulder rotator cuff using an endoscope	26	26	$1050.00	$142.07
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$1387.50	$198.08
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$770.55	$17.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,225	14	$39.93	$9.15
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	624	12	$51.69	$16.86
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	400	116	$21.63	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	222	166	$273.96	$75.13
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	115	86	$324.62	$92.23
20610 Aspiration and/or injection of fluid from large joint	114	51	$289.47	$64.28
73030 X-ray of shoulder, minimum of 2 views	91	74	$100.47	$28.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	42	$389.10	$106.15
29827 Repair of shoulder rotator cuff using an endoscope	37	37	$1050.00	$150.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$338.43	$95.64
73564 X-ray of knee, 4 or more views	26	19	$136.74	$40.15
29823 Removal of extensive shoulder joint tissue using an endoscope	17	17	$770.55	$17.57
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$180.00	$24.39
29822 Removal of shoulder joint tissue using an endoscope	11	11	$349.36	$19.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,056	21	$51.69	$29.47
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	575	12	$39.93	$12.05
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	304	104	$21.63	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	168	132	$273.96	$75.71
20610 Aspiration and/or injection of fluid from large joint	104	52	$275.24	$60.94
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	99	78	$311.97	$86.49
73030 X-ray of shoulder, minimum of 2 views	52	35	$100.47	$28.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$389.10	$108.08
73564 X-ray of knee, 4 or more views	15	11	$134.16	$35.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	80	35	$21.63	$7.97
20610 Aspiration and/or injection of fluid from large joint	35	22	$292.86	$64.96
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	32	29	$323.28	$92.32
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$273.96	$77.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	30	13	$20.40	$7.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	68	29	$17.54	$6.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	31	27	$500.00	$75.03
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$219.00	$60.32
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$265.63	$23.80
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$500.00	$140.66
20610 Aspiration and/or injection of fluid from large joint	12	11	$250.00	$56.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29827 Repair of shoulder rotator cuff using an endoscope	54	52	$500.00	$143.56
29823 Removal of extensive shoulder joint tissue using an endoscope	53	52	$254.72	$19.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	40	17	$15.00	$6.60
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$500.00	$206.20
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	17	$456.00	$69.41
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$250.00	$25.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29827 Repair of shoulder rotator cuff using an endoscope	49	47	$500.00	$142.67
29823 Removal of extensive shoulder joint tissue using an endoscope	41	39	$268.29	$24.31
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$219.00	$58.83
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$500.00	$205.18
20610 Aspiration and/or injection of fluid from large joint	17	13	$185.00	$50.28
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$250.00	$23.48

Medical Specialties & State Licenses

CMS Verified: 2025-07-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108073

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

107983200 (FL)

Hospital & Practice Group Affiliations

Southeast Orthopedic Specialists Llc

10475 Centurion Pkwy N, Jacksonville, FL 322565004

Phone: 9046340640

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Effingham Rehab Services, Llc

1390 Boone Ave Ext, Kingsland, GA 315486515

Phone: 4192213717

Southeast Orthopedic Specialists Llc

2627 Riverside Ave, Jacksonville, FL 322044717

Phone: 9046340640

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Southeast Orthopedic Specialists Llc

15255 Max Leggett Pkwy, Jacksonville, FL 322187274

Phone: 9046340640

Secondary Practice Locations

1658 St Vincents Way, Suite 100

Middleburg, FL 320688446

Phone: 9046340640

15255 Max Legget Pkwy Ste 5300

Jacksonville, FL 322187274

Phone: 9046340640

3055 County Road 210 W Ste 110

St Johns, FL 322597001

Phone: 9046340640

2 Shircliff Way Ste 605

Jacksonville, FL 322044762

Phone: 9046340640

2627 Riverside Ave Ste 300

Jacksonville, FL 322044717

Phone: 9046340640

10475 Centurion Pkwy N Ste 220

Jacksonville, FL 322565004

Phone: 9046340640

216 Southpark Cir E Ste 216

St Augustine, FL 320865135

Phone: 9046340640

1690 Us Highway 1 S Ste F

St Augustine, FL 320846024

Phone: 9046340640

4268 Oldfield Crossing Dr Ste 201

Jacksonville, FL 322238800

Phone: 9046340640

232 Ponte Vedra Park Dr

Ponte Vedra Beach, FL 320826600

Phone: 9046340640

4565 Us Highway 17 Ste 200

Fleming Island, FL 320034823

Phone: 9046340640

Practice Associates & Co-Workers

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

40 Associated Practitioners

Paul Steinke , PA-C

Physician Assistant

NPI 1003235599

Physician Assistant (Certified)

Dr. Gianpaolo Passeggiata , DC

Chiropractor

NPI 1003403288

Doctor of Chiropractic

Dr. Kayla Stadius , PT, DPT, EP-C

Physical Therapist

NPI 1003420068

Physical Therapist, Doctor of Physical Therapy, EPC

Dr. Farid Hakim , MD

Orthopaedic Surgery

NPI 1013002849

Doctor of Medicine (M.D.)

Dr. Krupa Alford , DPT

Physical Therapist

NPI 1013087881

Doctor of Physical Therapy

Andrea Parris , APRN

Nurse Practitioner - Family

NPI 1013587781

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Physician Assistant

📍

Updated Practice Location May 15, 2025

Registered at 45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 320866586 (Tel: 9046340640)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2025

Physician Assistant (License #PA9108073 in FL)

📍

Updated Practice Location October 06, 2023

Registered at 4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 320034823 (Tel: 9046340640)

📍

Updated Business Mailing Address October 06, 2023

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)

✅

NPI Profile Active March 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2015

Registered at 1658 ST VINCENTS WAY, SUITE 100, MIDDLEBURG, FL 320688446 (Tel: 9046340640)

📍

Updated Business Mailing Address March 25, 2015

Registered at 6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 322168070 (Tel: 9046340640)

👤

Provider Name / Credentials Updated March 25, 2015

Recorded as RYAN HENTKOWSKI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2015

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 31, 2014

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: 1932517166

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2014

Last Update: July 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6800 Southpoint Pkwy Ste 300

Jacksonville, FL 322168203

Phone: 9046340640

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.