KEITH T RYAN MD
NPI 1366416869
Internal Medicine in Flagstaff, AZ

Active since February 14, 2006PECOS Enrolled
20.76/100
CMS Quality Rating
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001(928) 213-8633(928) 213-8634 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith T Ryan Md NPPES

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

KEITH T RYAN MD (NPI 1366416869) is an individual internal medicine provider in Flagstaff, Arizona, licensed in Arizona (22530) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1366416869
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH T RYANCredential: MD
Location Address107 E OAK AVE, SUITE 202Flagstaff, AZ 86001-1818
Mailing Address107 E Oak Ave, Suite 202Flagstaff, AZ 86001-1818 · (928) 213-8633 · Fax (928) 213-8634
Fax(928) 213-8634
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 1, 2011
NPI 1366416869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 22530
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

107 E OAK AVE, Flagstaff, AZ 86001

Other Identifiers 3

Medicare ID-Type Unspecified11WCHMN06
Medicare UPINF82069
Medicaid167339AZ

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 (PECOS)

Keith T Ryan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668479213
PECOS Enrollment IDI20061025000131
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 28

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
463 services433 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
456 services293 patients
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.
288 services199 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
155 services151 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
150 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
140 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

20.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost69.22

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers44 claims139 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims31 services$1.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers24 claims24 services$38.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$96.86 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims39 services$38.77 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers18 claims18 services$58.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Internal Medicine
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Family Medicine
107 E OAK AVE
FLAGSTAFF, AZ 86001
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Orthopaedic Surgery
107 E OAK AVE
FLAGSTAFF, AZ 86001

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 Keith Ryan's NPI number?

The NPI number for Keith Ryan is 1366416869. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Keith Ryan located?

Keith Ryan practices at 107 E Oak Ave Suite 202, Flagstaff, AZ 86001. The listed phone number is (928) 213-8633.

What is Keith Ryan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keith Ryan enrolled in Medicare?

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

What insurance does Keith Ryan accept?

Health plans from Blue Cross Blue Shield of Arizona list Keith 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.

When was this NPI record last updated?

The NPPES record for Keith Ryan was last updated on March 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.