Doctor profile · Federal record
Dr. Ryan Diederich, MD
Plastic and Reconstructive Surgery Physician · Glen Carbon, IL
- NPI 1942422498
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4955 S State Route 159 Ste 1
Glen Carbon, IL 620341907
(618) 288-7855
fax (618) 288-7866
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- August 21, 2024
- Specialty taxonomy
- 2086S0122X — NUCC code
- State license (1)
- Illinois #125-050203
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942422498. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$217
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 5 | $202.67 | |
| Galderma Laboratories, L.P. | 1 | $14.67 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
13
Total drug cost
$174
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Hcl | Generic | 15 | 13 | $174 |
Frequently asked questions
What is Dr. Ryan Diederich's medical specialty?
Dr. Ryan Diederich practices Plastic and Reconstructive Surgery Physician in Glen Carbon, IL.
Where does Dr. Ryan Diederich practice?
Dr. Ryan Diederich practices at 4955 S State Route 159 Ste 1, Glen Carbon, IL 620341907. Office phone: 6182887855.
What is Dr. Ryan Diederich's NPI?
Dr. Ryan Diederich's National Provider Identifier (NPI) is 1942422498, issued by NPPES.