Jeff L Ryan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

116345 Issued in AK

Practice address

7559 N Tongass Hwy
Ketchikan, AK 99901-9182

Phone

(907) 228-0185

Fax

(907) 225-0184

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AK2 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

Specialty

General Surgery

Education

University of South Alabama College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Merit-based Incentive Payment System (MIPS)

Final score

79.12 of 100Reported as group

Quality

81.91

Promoting interoperability

100

Improvement activities

40

Cost

40.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jryan958552@ak.providencedirect.org
• FHIR API: https://fhir4.healow.com/fhir/r4/FBCJCD/Endpoint/FBCJCD
• FHIR API: https://fhir4.healow.com/fhir/r4/FBCJCD
• FHIR API: https://fhir4.healow.com/fhir/r4/AACHAA

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

• Mountain View Surgery

  • Surgery Physician
  • Ketchikan, AK
  • NPI 1346957289
  Medicare reassignment NPD
• Peacehealth

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539
  Medicare reassignment NPD
• Peacehealth

  • Diagnostic Radiology Physician
  • Ketchikan, AK
  • NPI 1801965736

  Surgery

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD
• General and Vascular Surgery of Northwest Alabma, Inc.

  • Vascular Surgery Physician
  • Russellville, AL
  • NPI 1154639227
  NPD (past)
• Mid-State Surgery PLLC

  • Surgery Physician
  • Murfreesboro, TN
  • NPI 1235247586
  NPD (past)
• Washington County Healthcare Authority, Inc

  • General Practice Physician
  • Chatom, AL
  • NPI 1437330438
  NPD (past)

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

• Peacehealth

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1548200504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7132",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999012132",
            "telephone_number": "907-228-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 N TONGASS HWY",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019182",
            "telephone_number": "907-228-0185",
            "fax_number": "907-225-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JEFF",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "116345",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD22074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123075",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rotary House of Ketchikan Inc
• Janis A Rottschafer, CRNA
• Carly Royer
• Adrian Rubin
• Russell Degroote MD PC
• Ty Sammons
• Ashley Sarkisian
• Nannette Scamahorn
• Shane Scamahorn
• Donna Jean Scarborough, LCSW

• Surgery Physician in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.