RYAN FAIRLEY
NPI 1144606229
Surgery in Portland, OR

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1040 NW 22ND AVE STE 520, PORTLAND, OR 97210(503) 413-7557 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ryan Fairley NPPES

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

RYAN FAIRLEY (NPI 1144606229) is an individual surgery provider in Portland, Oregon, licensed in Oregon (DO197810) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144606229
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRYAN FAIRLEY
Location Address1040 NW 22ND AVE STE 520Portland, OR 97210-3097
Mailing AddressPo Box 3808Portland, OR 97208-3808
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 30, 2015
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
NPI 1144606229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OR · DO197810
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1040 NW 22ND AVE STE 520, Portland, OR 97210

Other Identifiers 1

MedicaidPENDINGOR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ryan Fairley 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 ID4981027612
PECOS Enrollment IDI20211018001805
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 4

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.

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.
25 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
21 services21 patients
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.
13 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Other Providers at the Same Location NPPES 12

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

Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Psychologist (Clinical)
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Physical Therapist
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210

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 Fairley's NPI number?

The NPI number for Ryan Fairley is 1144606229. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Ryan Fairley located?

Ryan Fairley practices at 1040 NW 22nd Ave Ste 520, Portland, OR 97210. The listed phone number is (503) 413-7557.

What is Ryan Fairley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ryan Fairley enrolled in Medicare?

Yes. Ryan Fairley 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.

Is Ryan Fairley affiliated with any hospitals?

According to CMS data, Ryan Fairley is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Fairley was last updated on July 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.