Ryan W. Couchman, MD
NPI 1497740021ActiveIndividual· Orthopaedic Surgery· St Louis, MO
Orthopaedic Surgery (MD) in St Louis, Missouri, trained at St. Louis College of Physicians and Surgeons (class of 1987). 313 Medicare patients in 2024, $148,731 paid; nearly all of their 443 Part D prescriptions were generic (99%). Zimmer Biomet Holdings, Inc. was the largest of 3 companies reporting payments in 2025, $506.14 in all, mostly food and beverage.
Overview
| NPI | 1497740021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 20, 2005 |
| Last updated in NPPES | Oct 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | R1P03 | MO |
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 - Orthopedic Surgery (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 313 |
|---|---|
| Services billed | 9,010 across 49 procedure codes |
| Paid by Medicare | $148,731 |
Part D prescriptions in 2024
| Prescriptions (claims) | 443 · 482 30-day fills |
|---|---|
| Patients | 231 |
| Total drug cost | $3,373 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | St. Louis College of Physicians and Surgeons |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Mercy Clinic Surgical Specialists LLCSaint Louis, MO · 182 clinicians
- Physical Therapy Spine and Sports Medicine LLCBallwin, MO · 129 clinicians
Hospital affiliations
- Mercy Hospital SouthSaint Louis, MO
- Mercy Hospital St LouisSaint Louis, MO
Other facilities
- Evertrue Home HealthHome health agency · St. Louis, MO
- Mercy Home HealthHome health agency · Saint Louis, MO
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$506.14 · 21 payments from 3 companies
- 2024$116.50 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $345.55 | 4 |
| Ferring Pharmaceuticals Inc. | $143.37 | 16 |
| Davol Inc. | $17.22 | 1 |
What the 2025 payments were for
- Food and Beverage$371.70 · 19 payments
- Education$134.44 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other orthopedic surgeons in St Louis
- 1346276383
- 1306819644
- 1831268663
- 1881707644
- 1871504472
- 1285620260
- 1275602005
- 1104812510
All 19 orthopedic surgeons in St Louis · All orthopedic surgeons in Missouri