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Ryan Michael Ellis, PA

NPI 1528336146ActiveIndividual· Physician Assistant· West Valley City, UT

Physician Assistant (PA) in West Valley City, Utah, licensed in UT and CA, with an NPI issued in December 2011. Their prescriptions cost Medicare Part D more than their services did: $2,100 for 171 claims, against $930.88 paid for services in 2024.

Overview

NPI1528336146
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedDec 9, 2011
Last updated in NPPESAug 18, 2026
Certified by providerAug 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X13875135-1206UT
Physician Assistant, Medical363AM0700XPA21959CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed12 across 9 procedure codes
Paid by Medicare$930.88

Part D prescriptions in 2024

Prescriptions (claims)171 · 174 30-day fills
Patients122
Total drug cost$2,100
Generic share92% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in West Valley City

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