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Dr. Ryan W. Couchman, MD

Orthopedic Surgery (Orthopaedic Surgery Physician)

  • Medicare participating

At a glance

Years since graduation
39
In the NPI registry since
2005
Medicare patients seen, 2024
313

The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. NPIs were first issued in May 2005 and became required on claims in 2007–2008, so an early date usually means the clinician was already in practice before then. What an NPI is

Education and training

  • 1987Medical school: St. Louis College of Physicians and Surgeons
  • 2005Registered with an NPI (national billing number; not a license date) — NPIs began in 2005, so practice likely started earlier

Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).

Specialties and state licenses

  • Orthopaedic Surgery Physician primary
    MO license R1P03

As reported to the NPI registry. To confirm a license is current, check the state medical board.

Map: Orthopedic Surgery per capita by county →

Where they work

Hospitals

Medical groups

Hospitals this clinician lists with Medicare, and groups they bill Medicare through (Care Compare). Affiliation doesn’t mean they see patients at every location.

Medicare patients and services

Medicare patients, 2024
313
Services billed
9,010
Patients’ average age
75
Most frequent Medicare services, 2023
ServiceTimesPatients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg42462
Aspiration and/or injection of fluid from large joint320161
Injection, methylprednisolone acetate, 40 mg261102
Established patient office or other outpatient visit, 20-29 minutes257188
X-ray of knee, 3 views163141
Established patient office or other outpatient visit, 30-39 minutes150116
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose8120
X-ray of hip, 2-3 views6559
X-ray of shoulder, minimum of 2 views6253
New patient office or other outpatient visit, 45-59 minutes4040

Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.

Medicare prescriptions

Prescriptions filled under Medicare Part D, including refills. CMS leaves out drugs prescribed fewer than 11 times.

Payments from drug and device companies

In 2025, 3 companies reported 21 payments worth $506 in total to this clinician.

By company
Zimmer Biomet Holdings, Inc.$346
Ferring Pharmaceuticals Inc.$143
Davol Inc.$17.22
By type
Food and Beverage$372
Education$134

What the payments were for

Largest payments other than meals
DateCompanyWhat it was forAmount
Jun 21, 2025Zimmer Biomet Holdings, Inc.
Jun 21, 2025
Education
OXFORD PARTIAL KNEE · Knees · in-kind
Company’s descriptionOxford Partial Knee Instructional Course (FDA Required) Dallas 06.20.25 (EID78219)
$67.22
Jun 20, 2025Zimmer Biomet Holdings, Inc.
Jun 20, 2025
Education
Oxford · Knees · in-kind
Company’s descriptionOxford Partial Knee Instructional Course (FDA Required) Dallas 06.20.25 (EID78219)
$67.22

Each payment as the company reported it, with the products it named. Meals are counted in the totals above but not listed one by one.

From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.

Who received the most in Missouri →

Other Orthopedic Surgery clinicians in St Louis

Sources

NPI registry (CMS NPPES, November 2026; record last updated October 21, 2011), Medicare Care Compare, Medicare Physician & Other Practitioners (2024), Medicare Part D Prescribers (2024) and Open Payments (2025). Information is self-reported or billed data and may be out of date; call before visiting.

NPI 1497740021. Official NPI registry record (opens in a new tab). Clinicians can correct their information in NPPES; changes appear here after our next monthly update.