Individual provider Active NPI

Lunden Liston Ryan, M.D.

  • Orthopaedic Surgery Physician
  • Belpre, OH
National Provider Identifier
1710330113
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TP213 Issued in KY
Practice address
612 Washington Blvd
Belpre, OH 45714-2465
Phone
(304) 485-8040
Fax
(304) 485-4883
NPI assigned
Jul 20, 2016
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WV
Orthopaedic Surgery Physician 207X00000X TP213 KY Primary
Orthopaedic Trauma Physician 207XX0801X 35.146094 OH
Orthopaedic Trauma Physician 207XX0801X 28383 WV

Addresses

Primary practice location

612 Washington Blvd
Belpre, OH 45714-2465

Mailing address

PO Box 9196
Morgantown, WV 26506-9196
Phone (304) 293-1168

Other practice location 1

740 S Limestone Ste D135
Lexington, KY 40536-0001
Phone (859) 323-5533

Other practice location 2

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Other practice location 3

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-1198

Other identifiers 1

IdentifierTypeStateIssuer
1710330113MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.owens3@wvumedicine.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20221024000255 WV Practitioner - Orthopedic Surgery 4688960453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1006 2ND St
St. Mary's, WV 26170-1255
Phone (304) 865-5760

800 Garfield Ave
Pakersburg, WV 26102
Phone (304) 424-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.146094OHMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation Orthopaedic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
United Physicians Care Inc Past Accepting new patients

Locations

612 Washington Blvd
Belpre, OH 45714
Phone (304) 485-8040

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

1006 2nd St
Saint Marys, WV 26170
Phone (304) 865-5760

Interoperability endpoints

  • Direct secure messaging: lryan30244@direct.wvuhsdirect.com

Organizations & group practices 4

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 4

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1710330113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9196",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069196",
            "telephone_number": "304-293-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142465",
            "telephone_number": "304-485-8040",
            "fax_number": "304-485-4883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 S Limestone Ste D135",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-5533",
            "fax_number": "859-257-3634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015376",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26506",
            "country_code": "US",
            "telephone_number": "304-293-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LUNDEN",
        "middle_name": "LISTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP213",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "OH",
            "license": "35.146094",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "WV",
            "license": "28383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710330113",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.owens3@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "Brooke Owens",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "612 Washington Blvd",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457142465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.