Ryan Van Dam, PA
NPI 1639616949ActiveIndividual· Physician Assistant· Westford, MA
Physician Assistant (PA) with Multicare Health System, practicing in Westford, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $7,386 for 155 claims, against $4,603 paid for services in 2024. Lists Tacoma General Allenmore Hospital as a hospital affiliation.
Overview
| NPI | 1639616949 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 24, 2017 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.PA.60730273 | WA |
| Physician Assistant | 363A00000X | 2271480 | ID |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 104 across 18 procedure codes |
| Paid by Medicare | $4,603 |
Part D prescriptions in 2024
| Prescriptions (claims) | 155 · 166 30-day fills |
|---|---|
| Patients | 111 |
| Total drug cost | $7,386 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliation
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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