Individual provider Active NPI

Ryan Clark McCune, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • St George, UT
National Provider Identifier
1689649147
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4792095 Issued in UT
Practice address
1380 E Medical Center Dr
St George, UT 84790-2123
Phone
(435) 251-2205
Fax
(435) 251-2202
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4792095 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr
St George, UT 84790-2123

Mailing address

PO Box 30309
Charleston, SC 29417-0309
Phone (843) 284-3400

Other identifiers 1

IdentifierTypeStateIssuer
870376400001D6096MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20050519000361 UT Practitioner - Pathology 1759322779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Utah School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Pathology Services IncGroup PAC ID 1355251521, 28 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000

170 N 1100
American Fork, UT 84003-2096
Phone (801) 855-3300

3741 W 12600
Riverton, UT 84065-7215
Phone (801) 266-0055

5252 S Intermountain Dr
Murray, UT 84107-5700
Phone (801) 266-0055

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 266-0055

900 Round Valley Dr
Park City, UT 84060-7552
Phone (801) 266-0055

9660 S 1300
Sandy, UT 84094-3762
Phone (801) 266-0055

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
86.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4792095UTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Pathology Services, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2021 Accepting new patients
Pathology Services PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2005 Accepting new patients

Locations

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

1919 S Highland Ave
Bldg A
Lombard, IL 60148

340 Falcon Ridge Pkwy
Ste 300
Mesquite, NV 89027

5700 Southwyck Blvd
Toledo, OH 43614

5330 S 900 E
Ste 120
Murray, UT 84117
Phone (801) 631-8769

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

5252 S Intermountain Dr
Salt Lake City, UT 84107
Phone (801) 507-2110

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1689649147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-284-3400",
            "fax_number": "843-284-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-2205",
            "fax_number": "435-251-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "RYAN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "4792095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870376400001D6096",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.