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Active NPI 1750840138 Individual Practitioner Male Practitioner

Ryan G Willmore , PA-C

Physician Assistant • Saint Anthony, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Willmore, PA-C is a certified Physician Assistant practicing in Saint Anthony, ID. With approximately 7 years of clinical experience since completing medical education in 2019, Ryan Willmore delivers high-quality medical care to the local community at 335 E MAIN ST STE 1.

Ryan Willmore is affiliated with Upper Valley Community Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, insertion of needle into vein for collection of blood sample, blood glucose (sugar) level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

335 E Main St Ste 1

Saint Anthony, ID 834451546

Telephone 2083564900
Fax 2086244116
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Anthony, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.3 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Saint Anthony, ID (1261 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willmore (7 Years) 7 Yrs
Saint Anthony Specialty Average (13.3 Years) 13.3 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
83036 Hemoglobin A1C level
31 20 $30.00 $9.52
36415 Insertion of needle into vein for collection of blood sample
23 19 $13.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2024-10-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1802

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

Upper Valley Community Health Services Inc

335 E Main St, Saint Anthony, ID 834451546

Phone: 2083564900

Upper Valley Community Health Services Inc

72 S 1st, Rexburg, ID 834401965

Phone: 2083564900

Upper Valley Community Health Services Inc

72 S 1st, Rexburg, ID 834401902

Phone: 2083564900

Secondary Practice Locations

72 S 1st E Ste 101

Rexburg, ID 834401965

Phone: 2083564900

3729 Woodking Dr Ste 1

Idaho Falls, ID 834044720

Phone: 2083564900

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dave Robinson , PA-C

Physician Assistant

NPI 1003257478

Physician Assistant (Certified)

Megan Thompson , LCSW

Social Worker - Clinical

NPI 1033887146

Licensed Clinical Social Worker

Rhet Dalling , LCSW

Social Worker - Clinical

NPI 1104184738

Licensed Clinical Social Worker

Linda Lopez , LCSW

Social Worker - Clinical

NPI 1134543796

Licensed Clinical Social Worker

NPI 1144675679

Doctor of Osteopathic Medicine (D.O.)

Garett Rumsey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154280675

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 335 E MAIN ST STE 1, SAINT ANTHONY, ID 834451546 (Tel: 2083564900)

📍
Updated Business Mailing Address October 08, 2024

Registered at PO BOX 18, SAINT ANTHONY, ID 834450018 (Tel: 2083564900)

👤
Provider Name / Credentials Updated October 08, 2024

Recorded as RYAN WILLMORE, PA-C

📍
Updated Practice Location June 09, 2020

Registered at 1441 NE 10TH AVE, PAYETTE, ID 836615420 (Tel: 2086429376)

📍
Updated Business Mailing Address June 09, 2020

Registered at 1441 NE 10TH AVE, PAYETTE, ID 836615420 (Tel: 2086429376)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2020

Physician Assistant (License #PA-1802 in ID)

📍
Updated Business Mailing Address November 06, 2019

Registered at 1911 1ST AVE S, PAYETTE, ID 836613003 (Tel: 2084036256)

NPI Profile Active March 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2019

Registered at 3240 FORT RD, TOPPENISH, WA 989489562 (Tel: 5098650707)

📍
Updated Business Mailing Address March 15, 2019

Registered at 595 S RAILROAD AVE, SUGAR CITY, ID 834485043

👤
Provider Name / Credentials Updated March 15, 2019

Recorded as RYAN WILLMORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 15, 2019

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: 1750840138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2019
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

Po Box 18

Saint Anthony, ID 834450018

Phone: 2083564900

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.