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Active NPI 1164283529 Individual Practitioner Male Practitioner

Ryan Kingsolver , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Kingsolver, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 3 years of clinical experience since completing medical education in 2023, Ryan Kingsolver delivers high-quality medical care to the local community at 2230 N UNIVERSITY PKWY STE 9B.

Ryan Kingsolver maintains professional affiliations with Revere Health Pc, Kootenai Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, established patient outpatient office visit, new 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

2230 N University Pkwy Ste 9b

Provo, UT 846046717

Telephone 8013753175
Fax 8013752818
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kingsolver (3 Years) 3 Yrs
Provo Specialty Average (10.1 Years) 10.1 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
69210 Removal of impacted ear wax
61 54 $111.00 $37.92
99213 Established patient office or other outpatient visit, typically 15 minutes
57 54 $153.00 $73.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
48 48 $188.00 $90.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $282.00 $135.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $216.00 $103.73

Medical Specialties & State Licenses

CMS Verified: 2026-01-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 1971664

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

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

Revere Health Pc

2230 N University Pkwy, Provo, UT 846046717

Phone: 8013753175

Kootenai Health Inc

2003 Kootenai Health Way, Coeur D Alene, ID 838146051

Kootenai Health Inc

2177 W Ironwood Ctr Dr, Coeur D Alene, ID 838142639

Phone: 2086256111

Kootenai Health Inc

1055 Riverside Ave, Orofino, ID 835449029

Phone: 2084765777

Revere Health Pc

1055 N 500, Provo, UT 846043305

Kootenai Health Inc

2003 Kootenai Health Way, Coeur D Alene, ID 838146051

Revere Health Pc

1055 N 500, Provo, UT 846043305

Kootenai Health Inc

2121 W Ironwood Ctr Dr, Coeur D Alene, ID 838142639

Phone: 2086254680

Kootenai Health Inc

2199 W Ironwood Ctr Dr, Coeur D Alene, ID 838142639

Phone: 2086254888

Kootenai Health Inc

1296 E Polston Ave, Post Falls, ID 838545217

Phone: 2086256700

Secondary Practice Locations

1296 E Polston Ave Ste C

Post Falls, ID 838545217

Phone: 2086256700

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1134573926

AUDCCCA

Jason Gray , PA-C, MPAS

Physician Assistant

NPI 1275818155

Physician Assistant (Certified), MPAS

Aaron Paxman , PA-C

Physician Assistant

NPI 1295003051

Physician Assistant (Certified)

Victoria Cuello , FNP

Nurse Practitioner - Family

NPI 1508742198

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Physician Assistant (License #1971664 in ID)

📍
Updated Practice Location May 14, 2024

Registered at 2230 N UNIVERSITY PKWY STE 9B, PROVO, UT 846046717 (Tel: 8013753175)

📍
Updated Business Mailing Address May 14, 2024

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

NPI Profile Active January 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2024

Registered at 980 E 800 N STE 104, OREM, UT 840974261 (Tel: 8012524888)

📍
Updated Business Mailing Address January 22, 2024

Registered at 980 E 800 N STE 104, OREM, UT 840974261 (Tel: 8012524888)

👤
Provider Name / Credentials Updated January 22, 2024

Recorded as RYAN KINGSOLVER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 22, 2024

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: 1164283529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2024
Last Update: January 06, 2026
Sole Proprietor: No

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 846043305

Phone: 8013548225

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.