Individual provider Active NPI

Ryan M Casserly, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Monterey, CA
National Provider Identifier
1114344025
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
169329 Issued in CA
Practice address
966 Cass St Ste 250
Monterey, CA 93940-4541
Phone
(831) 649-4000
NPI assigned
Mar 28, 2014
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 169329 CA Primary

Addresses

Primary practice location

966 Cass St Ste 250
Monterey, CA 93940-4541

Mailing address

966 Cass St Ste 250
Monterey, CA 93940-4541
Phone (831) 649-4000

Other practice location 1

966 Cass St Ste 250
Monterey, CA 93940-4541
Phone (831) 649-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200826002901 CA Practitioner - Otolaryngology 7719285972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Head and Neck Surgeons a M C IncGroup PAC ID 8921086166, 14 clinicians

Practice addresses (Care Compare)

966 Cass St
Suite 250
Monterey, CA 93940-4541
Phone (831) 649-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as group
Quality
82.29
Promoting interoperability
95
Improvement activities
40
Cost
62.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169329CAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Head & Neck Surgeons a M C Inc CurrentSince Aug 24, 2020 Accepting new patients

Locations

930 Sunnyslope Rd
Ste A4
Hollister, CA 95023
Phone (831) 630-5754

966 Cass St
Ste 250
Monterey, CA 93940
Phone (831) 649-4000

1095 Los Palos Dr
Salinas, CA 93901
Phone (831) 422-8798

Interoperability endpoints

  • Direct secure messaging: rcasserly105446@direct.umm.edu

Organizations & group practices 1

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 3

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1114344025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 CASS ST STE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404541",
            "telephone_number": "831-649-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CASS ST STE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404541",
            "telephone_number": "831-649-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 Cass St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404541",
            "country_code": "US",
            "telephone_number": "831-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSERLY",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "169329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.