Active NPI 1336562503 Individual Practitioner Male Practitioner

Ryan Don Bailey , PA-C

Physician Assistant • Sioux Falls, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Bailey, PA-C is a certified Physician Assistant practicing in Sioux Falls, SD. With approximately 13 years of clinical experience since completing medical education in 2013, Ryan Bailey delivers high-quality medical care to the local community at 1210 W 18TH ST.

Ryan Bailey is affiliated with Avera Mckennan and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, prosthetic repair of shoulder joint, total shoulder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1210 W 18th St

Sioux Falls, SD 571044647

Telephone 6053282663

Associated Practice Facility / Clinic

🏢 Sanford Clinic Facility NPI 1639126402

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sioux Falls, SD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 16.3 Yrs

Regional Practice Density

248 Specialists

Practicing in Sioux Falls, SD (685 Statewide)

Telehealth Adoption Rate

7.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (13 Years) 13 Yrs

Sioux Falls Specialty Average (12.3 Years) 12.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	106	96	$87.77	$55.78
20610 Aspiration and/or injection of fluid from large joint	47	40	$66.87	$41.54
23472 Prosthetic repair of shoulder joint, total shoulder	36	35	$183.02	$180.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$107.07	$68.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$123.00	$82.19
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$135.89	$133.72
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$21.25	$20.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	84	$88.62	$57.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	15	$1.45	$1.07
20610 Aspiration and/or injection of fluid from large joint	51	45	$66.44	$42.85
23472 Prosthetic repair of shoulder joint, total shoulder	33	33	$186.17	$183.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$124.47	$86.92
23430 Anchoring of biceps tendon	23	23	$62.29	$61.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$160.70	$120.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	95	$89.32	$59.69
20610 Aspiration and/or injection of fluid from large joint	66	52	$67.21	$40.90
23472 Prosthetic repair of shoulder joint, total shoulder	29	29	$187.90	$184.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$131.70	$84.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$174.65	$124.70
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$139.84	$138.20
23430 Anchoring of biceps tendon	13	13	$52.83	$52.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$22.16	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	102	$92.85	$59.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	18	$1.39	$1.22
20610 Aspiration and/or injection of fluid from large joint	76	65	$69.32	$45.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$127.75	$94.70
23472 Prosthetic repair of shoulder joint, total shoulder	31	30	$189.14	$191.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$178.40	$137.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$163.19	$137.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$55.54	$32.97
29827 Repair of shoulder rotator cuff using an endoscope	17	16	$144.27	$141.97
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$30.27	$22.66
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$38.41	$34.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	68	$45.76	$25.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	11	$1.52	$1.51
20610 Aspiration and/or injection of fluid from large joint	50	42	$70.19	$47.16
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$192.58	$194.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$117.05	$74.64
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$81.04	$44.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$106.13	$76.61
29827 Repair of shoulder rotator cuff using an endoscope	15	14	$142.34	$143.63
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$22.99	$23.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	48	$45.94	$21.87
20610 Aspiration and/or injection of fluid from large joint	47	31	$68.65	$43.62
73030 X-ray of shoulder, minimum of 2 views	39	34	$9.51	$8.07
73030 X-ray of shoulder, minimum of 2 views	36	30	$9.51	$8.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$44.89	$21.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$106.84	$66.62
20610 Aspiration and/or injection of fluid from large joint	22	17	$64.34	$41.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$122.36	$63.85
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$192.85	$192.60
73564 X-ray of knee, 4 or more views	15	14	$11.31	$9.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	78	$58.00	$42.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	77	$89.00	$65.16
20610 Aspiration and/or injection of fluid from large joint	51	50	$60.54	$39.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$93.81	$62.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$146.00	$106.56
20610 Aspiration and/or injection of fluid from large joint	15	11	$67.18	$40.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$43.76	$20.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	138	$57.10	$41.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	134	$112.77	$64.93
20610 Aspiration and/or injection of fluid from large joint	69	62	$54.29	$38.71
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$57.44	$40.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$84.15	$62.50

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa

1116256

Hospital & Practice Group Affiliations

Avera Mckennan

1101 9th St Se, Sioux Center, IA 512502501

Phone: 6055041100

Avera Mckennan

901 E Virgil Ave, Milbank, SD 572522124

Phone: 6054324538

Avera Mckennan

1200 1st Ave E, Spencer, IA 513014342

Avera Mckennan

6100 S Louise Ave, Sioux Falls, SD 571086029

Avera Mckennan

1101 9th St Se, Sioux Center, IA 512502501

Phone: 7127222609

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Hillary Becker , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033316914

Doctor of Medicine (M.D.)

Sydney Cook , PA-C

Physician Assistant

NPI 1053282293

Physician Assistant (Certified)

Josie Stockland , PT

Physical Therapist

NPI 1053763342

Physical Therapist

Dr. Robert Van Demark , MD

Orthopaedic Surgery

NPI 1063708915

Doctor of Medicine (M.D.)

Dr. Adam Nichols , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1063856136

Doctor of Podiatric Medicine

Dr. Nathan Kirby , PT, DPT, ATC, CSCS

Physical Therapist

NPI 1063908812

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2014

Registered at 1210 W 18TH ST, SIOUX FALLS, SD 571044647 (Tel: 6053282663)

📍

Updated Business Mailing Address January 23, 2014

Registered at 1210 W 18TH ST, SIOUX FALLS, SD 571044647 (Tel: 6053282663)

👤

Provider Name / Credentials Updated January 23, 2014

Recorded as RYAN BAILEY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2014

Physician Assistant

🟢

Initial NPI Registration & Enumeration January 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336562503

Entity Type:

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

Enumeration Date: January 23, 2014

Last Update: January 23, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1210 W 18th St

Sioux Falls, SD 571044647

Phone: 6053282663

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.