Ryan Paul Balthaser , PA
Physician Assistant • Gardner, MA
725 Timpany Blvd
Gardner, MA 014403453
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Ryan Balthaser is listed in NPPES under Physician Assistant.
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NPI assigned on March 15, 2017; this date does not establish years in practice.
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Published CMS data list 68 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 68 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 2,805 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 206 prescription fills, including refills.
- Levothyroxine Sodium — 146 prescription fills, including refills.
- Amlodipine Besylate — 125 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 76 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Gardner, MA (2024, 11 clinicians with data). Median for this group: 163. Middle half: 105 to 289.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 252 in 2020 to 68 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
725 Timpany Blvd
Gardner, MA 014403453
CMS Doctors and Clinicians lists 1 group name: Tricia Vorderstrasse Md Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
35 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $6,334 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $4,923 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
5,250 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$131,038 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $48.62 across 2 records.
By nature of payment
- Food and Beverage: $48.62 across 2 records.
Reporting-company totals
- Janssen Pharmaceuticals, Inc: $25.64 across 1 record.
- Exact Sciences Corporation: $22.98 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ryan Balthaser has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ryan Balthaser as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gardner and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Gardner, MA (2024, 11 clinicians with data). Median for this group: 163. Middle half: 105 to 289.
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Gardner, MA (2024, 11 clinicians with data). Median for this group: $6,334. Middle half: $2,214 to $17,403.
A lower Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Gardner, MA (2024, 11 clinicians with data). Median for this group: $4,923. Middle half: $1,922 to $12,465.
A lower Medicare payment amount than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Gardner, MA (2024, 13 clinicians with data). Median for this group: 1,056. Middle half: 283 to 2,146.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Gardner, MA (2024, 13 clinicians with data). Median for this group: $89,401. Middle half: $2,841 to $246,844.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
15 active clinicians are listed under Physician Assistant with a practice address in Gardner, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gardner
20% of these 15 clinicians have the CMS telehealth indicator.
53.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 73% from 252 in 2020 to 68 in 2024.
- 2020: 252
- 2021: 41
- 2022: 83
- 2023: 82
- 2024: 68
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Medicare-allowed amount
Medicare-allowed amount decreased 67% from $19,069 in 2020 to $6,334 in 2024.
- 2020: $19,069
- 2021: $3,000
- 2022: $6,230
- 2023: $7,614
- 2024: $6,334
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Paid by Medicare
Paid by Medicare decreased 66% from $14,614 in 2020 to $4,923 in 2024.
- 2020: $14,614
- 2021: $2,431
- 2022: $4,890
- 2023: $5,837
- 2024: $4,923
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 198% from 941 in 2020 to 2,805 in 2024.
- 2020: 941
- 2021: 1,857
- 2022: 2,628
- 2023: 2,645
- 2024: 2,805
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30-day fills
30-day fills increased 231% from 1,585 in 2020 to 5,250 in 2024.
- 2020: 1,585
- 2021: 3,539
- 2022: 4,745
- 2023: 4,878
- 2024: 5,250
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Part D drug cost
Part D drug cost increased 219% from $41,045 in 2020 to $131,038 in 2024.
- 2020: $41,045
- 2021: $107,728
- 2022: $172,805
- 2023: $146,011
- 2024: $131,038
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $69.83 in 2021 to $48.62 in 2025.
- 2021: $69.83
- 2022: $59.87
- 2023: $59.88
- 2024: $22.81
- 2025: $48.62
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $48.62.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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INVEGA SUSTENNA | General | $25.64 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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The Cologuard Plus Collection Kit | General | $22.98 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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68 | 31 | $240.00 | $93.14 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 206 | 12,130 | $2,390.03 | 64 |
| Levothyroxine Sodium | Levothyroxine Sodium | 146 | 7,195 | $1,567.43 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 125 | 8,295 | $735.84 | 44 |
| Finasteride | Finasteride | 117 | 6,047 | $852.19 | 27 |
| Omeprazole | Omeprazole | 115 | 5,933 | $1,714.09 | 38 |
| Gabapentin | Gabapentin | 93 | 3,968 | $1,558.18 | 28 |
| Lisinopril | Lisinopril | 92 | 6,535 | $668.22 | 42 |
| Metoprolol Succinate | Metoprolol Succinate | 92 | 6,454 | $1,342.01 | 37 |
| Hydrochlorothiazide | Hydrochlorothiazide | 75 | 5,551 | $307.14 | 32 |
| Eliquis | Apixaban | 67 | 2,473 | $46,383.65 | 13 |
| Montelukast Sodium | Montelukast Sodium | 62 | 3,671 | $917.43 | 21 |
| Simvastatin | Simvastatin | 60 | 4,280 | $535.29 | 22 |
| Furosemide | Furosemide | 60 | 4,040 | $313.48 | 23 |
| Losartan Potassium | Losartan Potassium | 60 | 4,690 | $617.64 | 30 |
| Fluticasone Propionate | Fluticasone Propionate | 58 | 2,370 | $1,265.44 | 14 |
| Lorazepam | Lorazepam | 58 | 1,492 | $161.73 | 18 |
| Metformin Hcl | Metformin Hcl | 51 | 3,459 | $414.93 | 20 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 50 | 3,273 | $1,330.66 | 21 |
| Oxycodone Hcl | Oxycodone Hcl | 46 | 938 | $820.21 | 13 |
| Allopurinol | Allopurinol | 45 | 3,100 | $308.84 | 15 |
| Sertraline Hcl | Sertraline Hcl | 44 | 2,040 | $1,323.00 | 13 |
| Pantoprazole Sodium | Pantoprazole Sodium | 41 | 3,060 | $496.66 | 15 |
| Prednisone | Prednisone | 40 | 412 | $111.15 | 32 |
| Duloxetine Hcl | Duloxetine Hcl | 37 | 2,702 | $612.42 | 19 |
| Atenolol | Atenolol | 36 | 1,981 | $378.97 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20170417001425
MA
1759667298
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Tricia Vorderstrasse Md Pc
725 Timpany Blvd, Gardner, MA 014403453
Phone: 97863281005
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
PHYSICIANASSISTANT
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated March 15, 2017.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Gardner
- Cheryl Barber, PHYSICIAN ASSISTANT
- Pauline Saunders, PA-C
- Emily Smith, PA
- Casie Short, PA-C
- Erica Lasorsa, PA-C
- Carol Furnari, PA
Mailing Address
725 Timpany Blvd
Gardner, MA 014403453
Phone: 9786328100