Ryan C Nokes, PA-C
NPI 1053773739ActiveIndividual· Physician Assistant· Las Vegas, NV
Physician Assistant (PA-C) with Medtrans Behavioral Nevada Casal PLLC and 1 other group, practicing in Las Vegas, Nevada. Their prescriptions cost Medicare Part D more than their services did: $117,305 for 408 claims, against $10,746 paid for services in 2024. Abbvie Inc. was the largest of 13 companies reporting payments in 2025, $3,007 in all, mostly food and beverage.
Overview
| NPI | 1053773739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 2,049 across 9 procedure codes |
| Paid by Medicare | $10,746 |
Part D prescriptions in 2024
| Prescriptions (claims) | 408 · 480 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $117,305 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Medtrans Behavioral Nevada Casal PLLCReno, NV · 56 clinicians
- Focus Mental Health Solutions Bhushan Manjooran Wirjo PLLCHenderson, NV · 22 clinicians
Industry payments (Open Payments)
- 2025$3,007 · 101 payments from 13 companies
- 2024$2,315 · 70 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $829.20 | 30 |
| Alkermes, Inc. | $614.73 | 17 |
| Neurocrine Biosciences, Inc. | $479.14 | 14 |
| E.R. Squibb & Sons, L.L.C. | $236.63 | 9 |
| Otsuka America Pharmaceutical, Inc. | $235.85 | 12 |
What the 2025 payments were for
- Food and Beverage$3,004 · 100 payments
- Education$2.93 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 505 physician assistants in Las Vegas · All physician assistants in Nevada