Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RYAN THOMAS JUDD MD
NPI 1184204927
Otolaryngology in Saint Louis, MO

Active since April 14, 2021PECOS Enrolled
4500 FOREST PARK AVE, DEPT OTOLARYNGOLOGY, 5TH FL, SAINT LOUIS, MO 63108(314) 362-7509(888) 452-4025 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Apr 14, 2021 (2 updates tracked since 2021).

About Dr. Ryan Thomas Judd Md NPPES

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

DR. RYAN THOMAS JUDD MD (NPI 1184204927) is an individual otolaryngology provider in Saint Louis, Missouri, licensed in Missouri (2025053214) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2021).

NPPES Registry Identity

NPI1184204927
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RYAN THOMAS JUDDCredential: MD
Location Address4500 FOREST PARK AVE, DEPT OTOLARYNGOLOGY, 5TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7509 · Fax (888) 452-4025
Fax(888) 452-4025
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
NPI 1184204927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MO · 2025053214
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.
4500 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid200176396MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Thomas Judd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204245855
PECOS Enrollment IDI20260604002161
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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.

Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Pharmacist
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Urology
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Physician Assistant
4500 FOREST PARK AVE, DEPT NEUROLOGICAL SURGERY, STE 1B
SAINT LOUIS, MO 63108

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 Judd's NPI number?

The NPI number for Ryan Judd is 1184204927. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Ryan Judd located?

Ryan Judd practices at 4500 Forest Park Ave Dept Otolaryngology, 5th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-7509.

What is Ryan Judd's specialty?

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

Is Ryan Judd enrolled in Medicare?

Yes. Ryan Judd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Judd was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.