Nicholas C. Ryser, PA-C
NPI 1376193151ActiveIndividual· Physician Assistant, Medical· Vancouver, WA
Physician Assistant, Medical (PA-C) with The Vancouver Clinic Inc Ps, practicing in Vancouver, Washington. Their prescriptions cost Medicare Part D more than their services did: $2,615,855 for 2,293 claims, against $21,331 paid for services in 2024. Abbvie Inc. was the largest of 14 companies reporting payments in 2025, $689.23 in all, mostly food and beverage. Lists Legacy Salmon Creek Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1376193151 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Jun 7, 2025 |
| Certified by provider | Jun 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA.PA.61684678 | WA |
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 (ID); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 278 |
|---|---|
| Services billed | 366 across 7 procedure codes |
| Paid by Medicare | $21,331 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,293 · 4,002 30-day fills |
|---|---|
| Patients | 488 |
| Total drug cost | $2,615,855 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- The Vancouver Clinic Inc PsVancouver, WA · 590 clinicians
Hospital affiliations
- Legacy Salmon Creek Medical CenterVancouver, WA
- Peacehealth Southwest Medical CenteVancouver, WA
Industry payments (Open Payments)
- 2025$689.23 · 38 payments from 14 companies
- 2024$1,294 · 80 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $207.76 | 15 |
| Madrigal Pharmaceuticals | $154.37 | 6 |
| Genzyme Corporation | $75.87 | 4 |
| Regeneron Healthcare Solutions, Inc. | $58.20 | 3 |
| Janssen Biotech, Inc. | $28.14 | 1 |
What the 2025 payments were for
- Food and Beverage$689.23 · 38 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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