THOMAS J RYAN JR. M.D.
NPI 1326019563
Internal Medicine - Interventional Cardiology in Scarborough, ME

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074(207) 396-5611 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas J Ryan Jr. M.d. NPPES

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

THOMAS J RYAN JR. M.D. (NPI 1326019563) is an individual interventional cardiology provider in Scarborough, Maine, licensed in Maine (MD13348) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Stephens Memorial Hospital, and is a graduate of Tufts University School Of Medicine (1985).

NPPES Registry Identity

NPI1326019563
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTHOMAS J RYAN JR.Credential: M.D.
Location Address96 CAMPUS DR, SUITE 1Scarborough, ME 04074
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1985
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 12, 2018
NPI 1326019563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in ME · MD13348
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
96 CAMPUS DR, Scarborough, ME 04074

Other Identifiers 1

Medicaid281510099ME

Accepted Insurance

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

Thomas J Ryan Jr. M.d. 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 ID3971497694
PECOS Enrollment IDI20040212000608
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 6

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 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.
181 services124 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.
178 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services20 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
27 services27 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
21 services21 patients
Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227
An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
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.

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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 (Family)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR, SUITE 1
SCARBOROUGH, ME 04074
Registered Nurse
96 CAMPUS DR
SCARBOROUGH, ME 04074
Nurse Practitioner (Family)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Cardiovascular Disease)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Internal Medicine (Interventional Cardiology)
96 CAMPUS DR
SCARBOROUGH, ME 04074
Family Medicine
96 CAMPUS DR
SCARBOROUGH, ME 04074

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 Thomas Ryan's NPI number?

The NPI number for Thomas Ryan is 1326019563. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Thomas Ryan located?

Thomas Ryan practices at 96 Campus Dr Suite 1, Scarborough, ME 04074. The listed phone number is (207) 396-5611.

What is Thomas Ryan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Thomas Ryan enrolled in Medicare?

Yes. Thomas Ryan 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.

What insurance does Thomas Ryan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Thomas Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Ryan affiliated with any hospitals?

According to CMS data, Thomas Ryan is affiliated with Stephens Memorial Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Thomas Ryan was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.