Ryan Paul Bierle, MPAS, PA-C
NPI 1578849733ActiveIndividual· Physician Assistant, Surgical· San Antonio, TX
Physician Assistant, Surgical (MPAS, PA-C) with University of Texas Health Science Center at San Antonio, practicing in San Antonio, Texas. 40 Medicare patients in 2024, $5,485 paid; nearly all of their 79 Part D prescriptions were generic (91%). Actelion Pharmaceuticals US, Inc. was the largest of 3 companies reporting payments in 2025, $286.26 in all, mostly food and beverage. Lists University Health System as a hospital affiliation.
Overview
| NPI | 1578849733 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Nov 1, 2011 |
| Last updated in NPPES | Jan 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA07515 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 55 across 15 procedure codes |
| Paid by Medicare | $5,485 |
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 84 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $5,493 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- University of Texas Health Science Center at San AntonioSan Antonio, TX · 1,297 clinicians
Hospital affiliation
- University Health SystemSan Antonio, TX
Industry payments (Open Payments)
- 2025$286.26 · 3 payments from 3 companies
- 2024$125.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Actelion Pharmaceuticals US, Inc. | $123.03 | 1 |
| Vapotherm Inc | $100.61 | 1 |
| Chiesi USA, Inc. | $62.62 | 1 |
What the 2025 payments were for
- Food and Beverage$286.26 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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