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DR. JAMES THOMAS RYAN D.O.
NPI 1437271996
Family Medicine in Ludington, MI

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment
300 S RATH AVE, SUITE 202, LUDINGTON, MI 49431(231) 425-4447(231) 425-4401 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Thomas Ryan D.o. NPPES

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

DR. JAMES THOMAS RYAN D.O. (NPI 1437271996) is an individual family medicine provider in Ludington, Michigan, licensed in Michigan (5101016838) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1437271996
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES THOMAS RYANCredential: D.O.
Location Address300 S RATH AVE, SUITE 202Ludington, MI 49431-3003
Mailing Address300 S Rath Ave, Suite 202Ludington, MI 49431-3003 · (231) 425-4447 · Fax (231) 425-4401
Phone(231) 425-4447
Fax(231) 425-4401
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateApril 4, 2007
Last NPPES UpdateOctober 25, 2012
✔ NPI 1437271996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101016838
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 S RATH AVE, Ludington, MI 49431
Open in Google Maps ↗

Other Identifiers 3

Medicaid1437271996MI
Other5531349MI · Bcbs
Medicare UPINN1146002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. James Thomas Ryan 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 ID42361404
PECOS Enrollment IDI20090624000438
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 11

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.
140 services87 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.
115 services115 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
114 services114 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.
112 services112 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
83 services23 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.
73 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49431 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
5 suppliers17 claims30 services$5.51 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers14 claims14 services$40.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers16 claims16 services$97.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims47 services$41.95 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$18.77 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers19 claims109 services$2.72 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 4

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

JAMES T RYAN D O PLLC
Clinic/Center
300 S RATH AVE, SUITE 202
LUDINGTON, MI 49431
Mason County (231) 425-4447
HARBOR FRONT FAMILY CHIROPRACTORS
Chiropractor
300 S RATH AVE, SUITE 102
LUDINGTON, MI 49431
Mason County (213) 845-7800
ROBERT MACNAIR CROMPTON MD
Family Medicine
300 S RATH AVE, SUITE 201
LUDINGTON, MI 49431
Mason County (231) 845-8093
DR. CHARLES RUSSELL POLLARD M.D.
Family Medicine
300 S RATH AVE, SUITE 102
LUDINGTON, MI 49431
Mason County (231) 843-2543

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 James Ryan's NPI number?

The NPI number for James Ryan is 1437271996. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is James Ryan located?

James Ryan practices at 300 S Rath Ave Suite 202, Ludington, MI 49431. The listed phone number is (231) 425-4447.

What is James Ryan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Ryan enrolled in Medicare?

Yes. James 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 James Ryan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and Priority Health list James 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 James Ryan affiliated with any hospitals?

According to CMS data, James Ryan is affiliated with Trinity Health Muskegon Hospital, Corewell Health Ludington Hospital and Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for James Ryan was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.