Ryan Andrew Kedzie, DO
NPI 1457814154ActiveIndividual· Internal Medicine· Bolivar, MO
Internal Medicine (DO) with Citizens Memorial Healthcare, practicing in Bolivar, Missouri. Medicare paid $15,367 for services to 122 patients in 2024. Lists Citizens Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1457814154 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 9, 2019 |
| Last updated in NPPES | Jan 8, 2026 |
| Certified by provider | Jan 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2022026605 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 129 across 13 procedure codes |
| Paid by Medicare | $15,367 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Citizens Memorial HealthcareBolivar, MO · 146 clinicians
Hospital affiliation
- Citizens Memorial HospitalBolivar, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Bolivar
- 1932424603