DR. COURTNEY KATHERINE RYAN MD
NPI 1083608954
Family Medicine in Centreville, VA

Q: What is Courtney Ryan's NPI number?

The NPI number for Courtney Ryan is 1083608954. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Courtney Ryan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Ryan was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment

5645 STONE RD, CENTREVILLE, VA 20120(703) 266-2442(703) 266-7158 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Nov 22, 2017 (2 updates tracked since 2017).

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About Dr. Courtney Katherine Ryan Md NPPES

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

DR. COURTNEY KATHERINE RYAN MD (NPI 1083608954) is an individual family medicine provider in Centreville, Virginia, licensed in Virginia (0101232058) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1083608954

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. COURTNEY KATHERINE RYANCredential: MD

Location Address5645 STONE RDCentreville, VA 20120-1618

Mailing Address5645 Stone RdCentreville, VA 20120-1618 · (703) 266-2442 · Fax (703) 266-7158

Phone(703) 266-2442

Fax(703) 266-7158

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2000

Enumeration DateSeptember 7, 2005

Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1083608954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101232058

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5645 STONE RD, Centreville, VA 20120

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Courtney Katherine Ryan 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 ID4981730124

PECOS Enrollment IDI20171201001925

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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rocky Run Family Medicine Inc

Same address

Legal Medicine

5645 STONE RD
Centreville, VA 20120

Reassigned Medicare billing, District of Columbia enrollment
7 clinicians in this Medicare group

NPI 1043234552 (703) 266-2442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

123 services91 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.

86 services60 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

35 services35 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

33 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20120 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

ROCKY RUN FAMILY MEDICINE INC

Legal Medicine