MS. SHEILA ELLEN RYAN M.D.
NPI 1316924384
Otolaryngology in Durham, NC

NPI Status: Active since December 29, 2005

Contact Information

2609 N DUKE ST
SUITE 801
DURHAM, NC
ZIP 27704
Phone: (919) 220-2020
Fax: (919) 220-9257

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  • Individual
  • Female
  • Otolaryngology
  • PECOS Enrolled

About SHEILA RYAN

This page provides the complete NPI Profile along with additional information for Sheila Ryan, a provider established in Durham, North Carolina with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1316924384 assigned on December 2005. The practitioner's primary taxonomy code is 207Y00000X with license number 9701862 (NC). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1316924384
Provider Name
MS. SHEILA ELLEN RYAN M.D.
Gender
Female
Entity Type
Individual
Location Address
2609 N DUKE ST SUITE 801 DURHAM, NC 27704
Location Phone
(919) 220-2020
Location Fax
(919) 220-9257
Mailing Address
783 DOCTORS CT STE C ROXBORO, NC 27573
Mailing Phone
(336) 597-9200
Mailing Fax
(919) 220-9257
Is Sole Proprietor?
No
Enumeration Date
12-29-2005
Last Update Date
12-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
9701862
License State
NC
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8436056OTHER (01)NCCIGNA
891086PMEDICAID (05)NC 
2248253DMEDICARE ID-TYPE UNSPECIFIED (04)NC 
1000373OTHER (01)NCUHC
1086POTHER (01)NCBCBS
ENT32OTHER (01)NCPRIMA
G64425MEDICARE UPIN (02)NC 

Medicare Participation & PECOS Enrollment Status

Sheila Ryan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic exam of nasal passages using an endoscope

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.

This service was performed 32 times for 26 patients

Diagnostic exam of voice box using a flexible endoscope

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

This service was performed 26 times for 23 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 47 times for 35 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 126 times for 114 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 67 times for 63 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 88 times for 88 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 41 times for 41 patients

Removal of impacted ear wax

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.

This service was performed 66 times for 62 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27704 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316924384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 2 + 8 + 3 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316924384.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
2609 N DUKE ST, SUITE 604
DURHAM, NC 27704
Otolaryngology
2609 N DUKE ST, SUITE 801
DURHAM, NC 27704
Ophthalmology
2609 N DUKE ST, #620
DURHAM, NC 27704
Internal Medicine (Cardiovascular Disease)
2609 N DUKE ST, STE. 700
DURHAM, NC 27704
Internal Medicine (Cardiovascular Disease)
2609 N DUKE ST, STE. 700
DURHAM, NC 27704
Dermatology
2609 N DUKE ST, SUITE 403
DURHAM, NC 27704
Physical Therapist
2609 N DUKE ST, STE 305
DURHAM, NC 27704
Radiology (Diagnostic Radiology)
2609 N DUKE ST, SUITES 303 & 303A
DURHAM, NC 27704
Pediatrics
2609 N DUKE ST
DURHAM, NC 27704
Counselor (Professional)
2609 N DUKE ST
DURHAM, NC 27704
Counselor (Professional)
2609 N DUKE ST
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
2609 N DUKE ST, SUITE 503
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
2609 N DUKE ST, SUITE 503
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
2609 N DUKE ST, STE 503
DURHAM, NC 27704
Pharmacy (Community/Retail Pharmacy)
2609 N DUKE ST, SUITE 103
DURHAM, NC 27704
Non-Pharmacy Dispensing Site
2609 N DUKE ST, SUITE 622
DURHAM, NC 27704
Pharmacist
2609 N DUKE ST, SUITE 103
DURHAM, NC 27704
Obstetrics & Gynecology
2609 N DUKE ST, STE 204
DURHAM, NC 27704
Physical Therapist
2609 N DUKE ST, STE 203
DURHAM, NC 27704
Audiologist
2609 N DUKE ST, SUITE 801
DURHAM, NC 27704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316924384, enumerated as an "individual" on December 29, 2005.

The provider is located at 2609 N DUKE ST SUITE 801 DURHAM, NC 27704 and the phone number is (919) 220-2020.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Cigna, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.