MARISA ANN RYAN MD
NPI 1346567369
Otolaryngology in Lehi, UT

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
3000 N TRIUMPH BLVD STE 260, LEHI, UT 84043(801) 768-3500(801) 768-3506 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Aug 24, 2022, Aug 4, 2021 and 1 more (4 updates tracked since 2021).

About Marisa Ann Ryan Md NPPES

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

MARISA ANN RYAN MD (NPI 1346567369) is an individual otolaryngology provider in Lehi, Utah, licensed in Utah (12974559-1205) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346567369
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameMARISA ANN RYANCredential: MD
Location Address3000 N TRIUMPH BLVD STE 260Lehi, UT 84043-4999
Mailing Address1055 N 300 W Ste 401Provo, UT 84604-3306 · (801) 357-7499 · Fax (801) 373-5980
Fax(801) 768-3506
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1346567369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in UT · 12974559-1205✔ Licensed in GA · 88123✔ Licensed in CT · 047679149✔ Licensed in MD · D83114
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.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 12974559-1205 (UT)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 88123 (GA)
3000 N TRIUMPH BLVD STE 260, Lehi, UT 84043

Secondary Practice Locations 3

Location 196 E Kimballs Ln Ste 410Draper, UT 84020-5020 · Phone (801) 508-5880 · Fax (801) 508-5889
Location 21055 N 300 W Ste 311Provo, UT 84604-3373 · Phone (854) 776-8003 · Fax (385) 477-6801
Location 31055 N 300 W Ste 302Provo, UT 84604-3373 · Phone (801) 357-7499 · Fax (801) 373-5980

Accepted Insurance

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

Marisa Ann Ryan Md 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 ID9931414034
PECOS Enrollment IDI20220907002779
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

6

Medicare enrollment records show Marisa Ryan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3723 W 12600 S
Riverton, UT 84065
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
Neurology
175 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
Otolaryngology/Facial Plastic Surgery
1055 N 300 W, SUITE 401
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 45 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Marisa Ryan's NPI number?

The NPI number for Marisa Ryan is 1346567369. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Marisa Ryan located?

Marisa Ryan practices at 3000 N Triumph Blvd Ste 260, Lehi, UT 84043. The listed phone number is (801) 768-3500.

What is Marisa Ryan's specialty?

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

Is Marisa Ryan enrolled in Medicare?

Yes. Marisa 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.

Which organizations bill Medicare for Marisa Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Ryan reassigns Medicare benefits to 6 organizations: University Of Utah Pediatric Services (Riverton, UT), University Of Utah Adult Services (Salt Lake City, UT), Peak Ent Associates (Provo, UT), Emory Medical Care Foundation Inc (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Ryan accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Marisa 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 Marisa Ryan affiliated with any hospitals?

According to CMS data, Marisa Ryan is affiliated with Lds Hospital and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Marisa Ryan was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.