RYDER C OLSEN D.O
NPI 1205256963
Emergency Medicine in Tacoma, WA

Q: What is Ryder Olsen's NPI number?

The NPI number for Ryder Olsen is 1205256963. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Ryder Olsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryder Olsen was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 April 21, 2014PECOS EnrolledAccepts Medicare Assignment

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2019, Nov 14, 2017 (2 updates tracked since 2017).

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About Ryder C Olsen D.o NPPES

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

RYDER C OLSEN D.O (NPI 1205256963) is an individual emergency medicine provider in Tacoma, Washington, licensed in Washington (OP60746845) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Timpanogos Regional Hospital, and maintains a secondary practice location in Fort Hood.

NPPES Registry Identity

NPI1205256963

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRYDER C OLSENCredential: D.O

Location Address9040 JACKSON AVETacoma, WA 98431

Mailing Address4137 Jude CtLacey, WA 98516-5450 · (801) 369-9881

Phone(253) 968-1110

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration

✔ NPI 1205256963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · OP60746845

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

9040 JACKSON AVE, Tacoma, WA 98431

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Secondary Practice Location 1

Location 136000 Darnall Loop, ATTN: MCXI-DEMFort Hood, TX 76544-5095 · Phone (254) 288-8303 · Fax (254) 286-7055

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

Ryder C Olsen D.o 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 ID2961760210

PECOS Enrollment IDI20200507002818

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 Reassignments

Medicare enrollment records show Ryder Olsen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Observation Associates PC

19 mi

Internal Medicine

34515 9TH AVE S
Federal Way, WA 98003

Reassigned Medicare billing, Washington enrollment
190 clinicians in this Medicare group

NPI 1023539376 (865) 693-1000

Northwest Emergency Physicians LLC

78 mi

Emergency Medicine

330 S STILLAGUAMISH AVE
Arlington, WA 98223

Reassigned Medicare billing, Washington enrollment
519 clinicians in this Medicare group

NPI 1235172370 (925) 251-6901

Emergency Physicians Integrated Care, LLC

670 mi

Emergency Medicine

1050 E SOUTH TEMPLE
Salt Lake City, UT 84102

Reassigned Medicare billing, Utah enrollment
316 clinicians in this Medicare group

NPI 1578598199 (801) 350-4111

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

99 services94 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

69 services67 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

41 services40 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

29 services29 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

29 services26 patients

Hospital Affiliations CMS Care Compare

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

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460052

Location750 West 800 NorthOrem, UT 84057 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered