DR. RYAN P GALLIVAN MD
NPI 1043292196
Otolaryngology in Bend, OR

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2450 NE MARY ROSE PL, SUITE 120, BEND, OR 97701(541) 382-3100(541) 312-7050 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ryan P Gallivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN P GALLIVAN MD (NPI 1043292196) is an individual otolaryngology provider in Bend, Oregon, licensed in Oregon (23746) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1996).

NPPES Registry Identity

NPI1043292196
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RYAN P GALLIVANCredential: MD
Location Address2450 NE MARY ROSE PL, SUITE 120Bend, OR 97701-7132
Mailing Address2450 Ne Mary Rose Pl, Suite 120Bend, OR 97701-7132 · (541) 382-3100 · Fax (541) 312-7050
Fax(541) 312-7050
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1996
Enumeration DateNovember 15, 2005
Last NPPES UpdateMarch 10, 2008
NPI 1043292196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OR · 23746
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2450 NE MARY ROSE PL, Bend, OR 97701

Other Identifiers 3

Medicare ID-Type Unspecified113473OR
Medicaid286590OR
Medicare UPINH44267

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan P Gallivan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749363950
PECOS Enrollment IDI20080212000121
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
272 services215 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services178 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
202 services155 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
120 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Harney District Hospital

Critical Access Hospitals · Burns, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381307
Location557 W Washington StreetBurns, OR 97720 · Harney County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2450 NE MARY ROSE PL, SUITE 110
BEND, OR 97701
Obstetrics & Gynecology
2450 NE MARY ROSE PL, SUITE 220
BEND, OR 97701
Surgery
2450 NE MARY ROSE PL, SUITE 205
BEND, OR 97701
Ophthalmology
2450 NE MARY ROSE PL, SUITE 110
BEND, OR 97701
Specialist
2450 NE MARY ROSE PL, SUITE 200
BEND, OR 97701
Surgery
2450 NE MARY ROSE PL, SUITE 205
BEND, OR 97701
Audiologist
2450 NE MARY ROSE PL
BEND, OR 97701
Obstetrics & Gynecology
2450 NE MARY ROSE PL, SUITE 220
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Gallivan's NPI number?

The NPI number for Ryan Gallivan is 1043292196. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Ryan Gallivan located?

Ryan Gallivan practices at 2450 NE Mary Rose Pl Suite 120, Bend, OR 97701. The listed phone number is (541) 382-3100.

What is Ryan Gallivan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ryan Gallivan enrolled in Medicare?

Yes. Ryan Gallivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Gallivan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ryan Gallivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Gallivan affiliated with any hospitals?

According to CMS data, Ryan Gallivan is affiliated with St Charles Medical Center - Bend, Sky Lakes Medical Center and Harney District Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Gallivan was last updated on March 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.