Ryan Tait Vickers, PA-C, MMS
NPI 1700264777ActiveIndividual· Physician Assistant· Simi Valley, CA
Physician Assistant (PA-C, MMS) with Synergy Observation Specialists PC, practicing in Simi Valley, California. In 2024 Medicare paid $7,588 for 80 patients, and Part D covered 157 of their prescriptions, 87% of them generic. Medtronic, Inc. reported $19.75 in payments in 2024, mostly food and beverage. Lists Adventist Health Simi Valley as a hospital affiliation.
Overview
| NPI | 1700264777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, MMS |
| Sole proprietor | No |
| NPI issued | May 11, 2015 |
| Last updated in NPPES | May 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 52475 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 110 across 16 procedure codes |
| Paid by Medicare | $7,588 |
Part D prescriptions in 2024
| Prescriptions (claims) | 157 · 166 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $1,802 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Synergy Observation Specialists PCSimi Valley, CA · 38 clinicians
Hospital affiliation
- Adventist Health Simi ValleySimi Valley, CA
Industry payments (Open Payments)
- 2024$19.75 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $19.75 | 1 |
What the 2024 payments were for
- Food and Beverage$19.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 physician assistants in Simi Valley · All physician assistants in California