Ryan Cole Williams , PA-C
Physician Assistant • Big Spring, TX
2503 S Gregg St, Unit C
Big Spring, TX 797202549
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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NPI assigned on September 22, 2006; this date does not establish years in practice.
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Published CMS data list 508 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:
- 99214 — Established patient outpatient office visit: 190 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 100 service units.
- 99213 — Established patient outpatient office visit: 90 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 all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,972 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:
- Levothyroxine Sodium — 128 prescription fills, including refills.
- Rosuvastatin Calcium — 100 prescription fills, including refills.
- Atorvastatin Calcium — 79 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 71 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
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 2,066 in 2020 to 508 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2503 S Gregg St
Unit C
Big Spring, TX 797202549
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Big Bend Medical Group; Dora Roberts Rehabilitation Center; Shannon Clinic. 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
2005
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
131 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 $29,669 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 $18,025 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
4,524 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
$176,335 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: $74.94 across 3 records.
By nature of payment
- Food and Beverage: $74.94 across 3 records.
Reporting-company totals
- ABBVIE INC.: $32.91 across 1 record.
- ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $26.81 across 1 record.
- Otsuka America Pharmaceutical, Inc.: $15.22 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
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 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
2006
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ryan Williams 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 Williams 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 Big Spring and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
Too few clinicians listed under Physician Assistant in Big Spring have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Physician Assistant with a practice address in Big Spring, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
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 75% from 2,066 in 2020 to 508 in 2024.
- 2020: 2,066
- 2021: 1,077
- 2022: 577
- 2023: 546
- 2024: 508
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Medicare-allowed amount
Medicare-allowed amount decreased 51% from $60,150 in 2020 to $29,669 in 2024.
- 2020: $60,150
- 2021: $47,113
- 2022: $31,921
- 2023: $33,156
- 2024: $29,669
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Paid by Medicare
Paid by Medicare decreased 58% from $43,411 in 2020 to $18,025 in 2024.
- 2020: $43,411
- 2021: $28,852
- 2022: $20,506
- 2023: $20,626
- 2024: $18,025
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 30% from 2,798 in 2020 to 1,972 in 2024.
- 2020: 2,798
- 2021: 2,610
- 2022: 1,352
- 2023: 1,738
- 2024: 1,972
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30-day fills
30-day fills decreased 28% from 6,283 in 2020 to 4,524 in 2024.
- 2020: 6,283
- 2021: 5,990
- 2022: 3,179
- 2023: 3,950
- 2024: 4,524
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Part D drug cost
Part D drug cost increased 27% from $138,801 in 2020 to $176,335 in 2024.
- 2020: $138,801
- 2021: $189,745
- 2022: $111,633
- 2023: $187,660
- 2024: $176,335
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $34.12 in 2021 to $74.94 in 2025.
- 2021: $34.12
- 2022: $91.93
- 2023: $66.01
- 2024: $53.96
- 2025: $74.94
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 $74.94.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $32.91 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $26.81 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $15.22 |
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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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190 | 98 | $356.46 | $101.64 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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100 | 19 | $12.00 | $0.98 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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90 | 62 | $253.00 | $72.63 |
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96372
Injection of drug or substance under skin or into muscle
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42 | 25 | $59.73 | $11.57 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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24 | 22 | $162.13 | $45.85 |
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81003
Automated urinalysis test
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20 | 12 | $6.00 | $2.20 |
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83036
Hemoglobin a1c level
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17 | 14 | $27.00 | $9.52 |
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G0008
Administration of influenza virus vaccine
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14 | 14 | $45.00 | $31.03 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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11 | 11 | $488.91 | $135.97 |
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 |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 128 | 10,920 | $1,533.80 | 40 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 100 | 8,760 | $1,440.27 | 35 |
| Atorvastatin Calcium | Atorvastatin Calcium | 79 | 7,130 | $686.55 | 24 |
| Gabapentin | Gabapentin | 57 | 3,890 | $911.72 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 57 | 5,085 | $351.02 | 18 |
| Pantoprazole Sodium | Pantoprazole Sodium | 57 | 5,030 | $533.10 | 22 |
| Fluticasone Propionate | Fluticasone Propionate | 49 | 2,280 | $621.11 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 48 | 3,960 | $527.00 | 14 |
| Tamsulosin Hcl | Tamsulosin Hcl | 48 | 4,292 | $768.93 | 18 |
| Mirtazapine | Mirtazapine | 48 | 3,180 | $470.09 | 14 |
| Losartan Potassium | Losartan Potassium | 46 | 4,170 | $389.66 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 46 | 3,852 | $579.37 | 12 |
| Metformin Hcl | Metformin Hcl | 46 | 4,020 | $765.76 | 13 |
| Ozempic | Semaglutide | 42 | 1,260 | $40,379.78 | — |
| Zolpidem Tartrate | Zolpidem Tartrate | 41 | 1,470 | $207.02 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 41 | 999 | $883.19 | 22 |
| Hydrochlorothiazide | Hydrochlorothiazide | 38 | 3,120 | $111.14 | 14 |
| Lisinopril | Lisinopril | 35 | 2,810 | $334.04 | 13 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 35 | 930 | $478.37 | — |
| Meloxicam | Meloxicam | 35 | 1,570 | $100.68 | — |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 34 | 315 | $216.93 | 29 |
| Montelukast Sodium | Montelukast Sodium | 33 | 2,945 | $380.76 | — |
| Metformin Hcl Er | Metformin Hcl | 29 | 2,550 | $373.49 | 12 |
| Azithromycin | Azithromycin | 28 | 140 | $118.98 | 22 |
| Sertraline Hcl | Sertraline Hcl | 28 | 2,320 | $323.16 | 12 |
(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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20070427000247
TX
4981700580
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
Big Bend Medical Group
1501 W 11th Place, Big Spring, TX 797204121
Big Bend Medical Group
1501 W 11th Pl, Big Spring, TX 797204121
Big Bend Medical Group
1608 W Fm 700, Big Spring, TX 797204113
Shannon Clinic
1501 W 11th Pl, Big Spring, TX 797204119
Phone: 4327144600
Big Bend Medical Group
1501 W 11th Pl, Big Spring, TX 797204122
Dora Roberts Rehabilitation Center
306 W 3rd St, Big Spring, TX 797202429
Phone: 4322673806
Big Bend Medical Group
1608 W Fm, Big Spring, TX 797204113
Big Bend Medical Group
1501 W 11th Place, Big Spring, TX 797204122
Big Bend Medical Group
1501 W 11th Pl, Big Spring, TX 797204119
Phone: 4322684522
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist
Dietitian, Registered
Registered Dietitian
Physician Assistant
Physician Assistant
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated September 22, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Big Spring
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Mailing Address
Po Box 22000
San Angelo, TX 769027200
Phone: 3256581511