Ryan Tognotti, PAC
NPI 1053939611ActiveIndividual· Physician Assistant· Carson City, NV
Physician Assistant (PAC) with James J Lynch M D Ltd and 1 other group, practicing in Carson City, Nevada. 237 Medicare patients in 2024, $45,114 paid; all of their 217 Part D prescriptions were generic. Miach Orthopaedics, Inc. was the largest of 7 companies reporting payments in 2025, $460.75 in all, mostly food and beverage. Lists Carson Valley Health and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1053939611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Jul 10, 2020 |
| Last updated in NPPES | Dec 15, 2021 |
| Certified by provider | Dec 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2517 | NV |
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 | 237 |
|---|---|
| Services billed | 2,433 across 48 procedure codes |
| Paid by Medicare | $45,114 |
Part D prescriptions in 2024
| Prescriptions (claims) | 217 · 220 30-day fills |
|---|---|
| Patients | 107 |
| Total drug cost | $1,443 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- James J Lynch M D LtdReno, NV · 84 clinicians
- Custom Physical Therapy Limited PartnershipReno, NV · 82 clinicians
Hospital affiliations
- Carson Valley HealthGardnerville, NV
- Renown Regional Medical CenterReno, NV
- Renown South Meadows Medical CenterReno, NV
Industry payments (Open Payments)
- 2025$460.75 · 12 payments from 7 companies
- 2024$231.64 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Miach Orthopaedics, Inc. | $196.57 | 1 |
| Goode Surgical Inc | $67.32 | 3 |
| Vertex Pharmaceuticals Incorporated | $56.91 | 2 |
| Bioventus LLC | $48.28 | 2 |
| Depuy Synthes Sales Inc. | $43.05 | 2 |
What the 2025 payments were for
- Food and Beverage$460.75 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 physician assistants in Carson City · All physician assistants in Nevada