Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164996948 Individual Practitioner Male Practitioner

Ryan J Blackwell

Physician Assistant • Cooperstown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Blackwell is a certified Physician Assistant practicing in Cooperstown, NY. With approximately 7 years of clinical experience since completing medical education in 2019, Ryan Blackwell delivers high-quality medical care to the local community at 1 ATWELL RD.

Ryan Blackwell maintains professional affiliations with Mary Imogene Bassett Hospital, Samaritan Medical Practice Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Atwell Rd

Cooperstown, NY 13326

Telephone 6075473672
Associated Practice Facility / Clinic
🏢 Mary Imogene Bassett Hospital Facility NPI 1083664221

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 Cooperstown, NY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -8.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Cooperstown, NY (15701 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackwell (7 Years) 7 Yrs
Cooperstown 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)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
153 31 $3.00 $0.96
99213 Established patient office or other outpatient visit, typically 15 minutes
54 34 $146.00 $73.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 34 $213.00 $103.49
20610 Aspiration and/or injection of fluid from large joint
35 30 $142.20 $56.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
26 26 $321.00 $134.40

Medical Specialties & State Licenses

CMS Verified: 2025-11-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 029977

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

Samaritan Medical Practice Pc

629 Washington St, Watertown, NY 136014836

Phone: 3157553650

Mary Imogene Bassett Hospital

1 Atwell Rd, Cooperstown, NY 133261301

Phone: 6075473480

Samaritan Medical Practice Pc

22567 Summit Dr, Watertown, NY 136017210

Phone: 3157796784

Secondary Practice Locations

4430 Missouri Ave

Fort Leonard Wood, MO 654739098

Phone: 5735960035

4430 Missouri Ave

Fort Leonard Wood, MO 654739098

Phone: 5735960035

30 13th St

Havre, MT 59501

Phone: 4062621305

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Max Lincoln , MD

Orthopaedic Surgery

NPI 1710169891

Doctor of Medicine (M.D.)

Janine Velardi

Physician Assistant

NPI 1750110995
Dr. Erlena Josifi , MD

Orthopaedic Surgery

NPI 1861987273

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 19, 2025

Registered at 1 ATWELL RD, COOPERSTOWN, NY 13326 (Tel: 6075473672)

📍
Updated Business Mailing Address November 19, 2025

Registered at 1 ATWELL RD, COOPERSTOWN, NY 13326 (Tel: 6075473480)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Physician Assistant (License #029977 in NY)

📍
Updated Practice Location February 14, 2019

Registered at 30 13TH ST, HAVRE, MT 59501 (Tel: 4062621305)

📍
Updated Business Mailing Address February 14, 2019

Registered at 30 13TH ST, HAVRE, MT 595015222 (Tel: 4062621305)

NPI Profile Active January 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2019

Registered at 4430 MISSOURI AVE, FORT LEONARD WOOD, MO 654739098 (Tel: 5735960035)

📍
Updated Business Mailing Address January 15, 2019

Registered at 4430 MISSOURI AVE, FORT LEONARD WOOD, MO 654739098 (Tel: 5735960035)

👤
Provider Name / Credentials Updated January 15, 2019

Recorded as RYAN BLACKWELL

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

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ryan Blackwell. Be the first to share your experience!

Sign in to leave a review for Ryan Blackwell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164996948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2019
Last Update: November 19, 2025
Sole Proprietor: No

Mailing Address

1 Atwell Rd

Cooperstown, NY 13326

Phone: 6075473480

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.