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Active NPI 1114405396 Individual Practitioner Male Practitioner

Ryan Blair Killpack , PA-C

Physician Assistant - Medical • Blackfoot, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Killpack, PA-C is a certified Physician Assistant - Medical practicing in Blackfoot, ID. With approximately 8 years of clinical experience since completing medical education in 2018, Ryan Killpack delivers high-quality medical care to the local community at 98 POPLAR ST.

Ryan Killpack is affiliated with Bmh Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 Poplar St

Blackfoot, ID 832211758

Telephone 2087854100
Associated Practice Facility / Clinic
🏢 Bmh Inc Facility NPI 1730174830

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Blackfoot, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +0.2 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Blackfoot, ID (376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Killpack (8 Years) 8 Yrs
Blackfoot Specialty Average (7.8 Years) 7.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 27 $199.31 $93.49

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Hospital & Practice Group Affiliations

Bmh Inc

98 Poplar St, Blackfoot, ID 832211758

Phone: 2087854100

Bmh Inc

315 W Idaho St, Blackfoot, ID 832211711

Phone: 2087823990

Bmh Inc

98 Poplar St, Blackfoot, ID 832211758

Bmh Inc

1975 Martha Ave, Idaho Falls, ID 834047580

Phone: 2085353633

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Charles Lemon , MD

Emergency Medicine

NPI 1013958099

Doctor of Medicine (M.D.)

Abby Wilson , FNP-BC, RD, CDCES

Nurse Practitioner - Family

NPI 1033544580

Family Nurse Practitioner (Board Certified), Registered Dietitian, Certified Diabetes Care and Education Specialist

Scott Mangum , PA-C

Physician Assistant - Medical

NPI 1043180730

Physician Assistant (Certified)

NPI 1063113082

Doctor of Pharmacy (Pharm.D.)

Chelsee Campbell

Nurse Practitioner - Family

NPI 1114712866
Dr. Heather Pugmire , MD

Obstetrics & Gynecology

NPI 1225292220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2018

Registered at 98 POPLAR ST, BLACKFOOT, ID 832211758 (Tel: 2087854100)

📍
Updated Business Mailing Address July 31, 2018

Registered at 98 POPLAR ST, BLACKFOOT, ID 832211758 (Tel: 2087854100)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as RYAN KILLPACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 31, 2018

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: 1114405396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2018
Last Update: July 31, 2018
Sole Proprietor: No

Mailing Address

98 Poplar St

Blackfoot, ID 832211758

Phone: 2087854100

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.