Individual provider Active NPI

Ryan James Hagens, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Montrose, CO
National Provider Identifier
1073008991
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
CDR.0004799 Issued in CO
Practice address
3330 S Rio Grande Ave
Montrose, CO 81401-4847
Phone
(970) 252-2584
Fax
(970) 252-2594
NPI assigned
Jun 22, 2018
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A177052 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X CDR.0004799 CO Primary

Addresses

Primary practice location

3330 S Rio Grande Ave
Montrose, CO 81401-4847

Mailing address

930 Somersby Way
Sacramento, CA 95864-6132
Phone (530) 417-4852

Other practice location 1

1528 Eureka Rd
Roseville, CA 95661-3047
Phone (916) 772-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230615000277 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3577810431 Reassigns benefits to 1 organization
I20250131000826 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3577810431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
210 MRH Spine and Pain Ctr
Montrose, CO 81401-4847
Phone (970) 252-2584

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
84.27
Promoting interoperability
100
Improvement activities
40
Cost
71.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177052CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
CDR.0004799COMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Nerve Diagnostic Center CurrentSince Aug 1, 2023 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Jan 7, 2025 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Aug 1, 2023 Accepting new patients
Montrose Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Montrose Memorial Hospital, Inc Pain Medicine CurrentSince Jan 7, 2025 Accepting new patients
Mountain View Cardiology PC Past Accepting new patients

Locations

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

3330 S Rio Grande Ave
Ste 210
Montrose, CO 81401
Phone (970) 249-6641

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1073008991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SOMERSBY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646132",
            "telephone_number": "530-417-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S RIO GRANDE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014847",
            "telephone_number": "970-252-2584",
            "fax_number": "970-252-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613047",
            "country_code": "US",
            "telephone_number": "916-772-5325",
            "fax_number": "916-772-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGENS",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A177052",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "CDR.0004799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.