NPPES file of Aug 9, 2026

Ryan Gile Fischer, M.D.

Dermatology Physician · Lexington, KY

Ryan Gile Fischer, M.D. is a dermatology physician with a practice address in Lexington, Kentucky, and NPI 1912263617, issued on Apr 6, 2012. Check the license (Kentucky 49196, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1912263617
Name
Ryan Gile Fischer
Credential
M.D.
Primary taxonomy
Dermatology Physician 207N00000X
License number
49196 KY
Self-reported in NPPES; status is on the state search
Practice location
250 Fountain CT, Lexington, KY 40509
Phone
(859) 263-4444
Enumerated
Apr 6, 2012
Record last updated
Oct 9, 2023
Medicare enrollment
Enrolled (PECOS I20160817002928); accepts Medicare assignment
Medical or professional school
University Of Kentucky College Of Medicine, 2012
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 250 Fountain CT

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Riley Bechtel, PA-CPhysician Assistant1699405506
  2. Charlie Becknell, M.D.Dermatology Physician1033112453
  3. Kristopher Braun, M.D.Dermatology Physician1447518949
  4. Jamie Davis, PA-CPhysician Assistant1780833749
  5. Fernando De Castro, M.D.Dermatopathology Physician1558364976
  6. Maheera Farsi-Morgan, DOMOHS-Micrographic Surgery Physician1366826059

Verify Ryan Gile Fischer in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 49196
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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86% more Medicare Part D claims than the average dermatology physician in 2024

1,486 Medicare Part D claims for 595 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.

  1. Ryan Fischer1,486
  2. Specialty average797

Most prescribed

  1. Ketoconazole259 claims
  2. Triamcinolone Acetonide167 claims
  3. Clobetasol Propionate105 claims
  4. Fluocinonide93 claims
  5. Finasteride81 claims
  6. Doxycycline Hyclate64 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 80.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score62.3
  2. Costout of 100 · 30%74.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $112.61

4 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ryan Fischer$112.61
  2. Specialty average$8,544.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. New Lexington Clinic PscLexington, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ryan Gile Fischer among 142 dermatology physician records in Kentucky

Ryan Gile Fischer, M.D. is one of 142 dermatology physician records with a practice address in Kentucky. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 72% of them.

  • NPI issued2012 · 72% of these records are older, 24% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2012 · median 2004 among the 109 with a school on file
  • Record last updated2023 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatology Physician providers in Kentucky

There are 142 dermatology physician records in Kentucky.

The 8 dermatology physician records with the nearest ZIP codes

  1. Charlie Becknell, M.D.Lexington, KY 405091033112453
  2. Dana Black, M.D.Lexington, KY 405091033228069
  3. Kristopher Braun, M.D.Lexington, KY 405091447518949
  4. Gerald Elliott, M.D.Lexington, KY 405091225063175
  5. Mary Guiglia, M.D.Lexington, KY 405091245233600
  6. Jonathan Keeling, D.O.Lexington, KY 405091770605172
  7. Julie Martin, MDLexington, KY 405091356532543
  8. Sean Marzolf, MDLexington, KY 405091033472915

Common questions

What is Ryan Gile Fischer, M.D.'s NPI number?

Ryan Gile Fischer, M.D.'s National Provider Identifier (NPI) is 1912263617, issued on Apr 6, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Ryan Gile Fischer, M.D. located?

The NPPES record lists a practice address at 250 Fountain CT, Lexington, KY, 40509. Phone: (859) 263-4444. Providers update this record themselves, so call before visiting.

How can I verify Ryan Gile Fischer, M.D.'s license?

NPPES lists Kentucky license number 49196, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ryan Gile Fischer, M.D. prescribe under Medicare Part D?

In 2024, Ryan Gile Fischer, M.D. had 1,486 Medicare Part D claims for 595 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.

What is Ryan Gile Fischer, M.D.'s MIPS final score?

The 2023 MIPS final score is 80.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.