MR. JASON ROBERT RYCKEGHEM NPI 1588090476

NPI Information

  • NPI: 1588090476
  • Provider Name: MR. JASON ROBERT RYCKEGHEM
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 53RD AVE
    SUITE 100
    BETTENDORF, IA
    ZIP 52722
  • Phone: (563) 322-0971

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NPI Details

MR. Jason Robert Ryckeghem is a physician assistant in Bettendorf, IA with 15 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Jason Robert Ryckeghem NPI is 1588090476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2300 53RD AVE
SUITE 100
BETTENDORF, IA
ZIP 52722-564
Phone: (563) 322-0971
Fax: (563) 324-0615

The NPI 1588090476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 9/24/2013 and was last updated on 7/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant085.004669ILLINOISNo
2363A00000XPhysician Assistant074029IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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