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DR. JAMES J. RYAN M.D.
NPI 1598768194
Surgery in Moose Lake, MN

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-2105 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2023, Nov 6, 2020 (2 updates tracked since 2020).

About Dr. James J. Ryan M.d. NPPES

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

DR. JAMES J. RYAN M.D. (NPI 1598768194) is an individual surgery provider in Moose Lake, Minnesota, licensed in Minnesota (34503) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Sandstone, and is a graduate of University Of Minnesota Medical School (1990).

NPPES Registry Identity

NPI1598768194
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES J. RYANCredential: M.D.
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 485-2105
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1990
Enumeration DateMay 27, 2005
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1598768194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 34503
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4572 COUNTY ROAD 61, Moose Lake, MN 55767
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Other Identifiers 1

Medicaid963826100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.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

Dr. James J. Ryan 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 ID5597782771
PECOS Enrollment IDI20051027000220
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

5

Medicare enrollment records show James Ryan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essentia Health Moose Lake
Same address
Critical Access
4572 COUNTY ROAD 61
Moose Lake, MN 55767
  • Reassigned Medicare billing, Minnesota enrollment
  • 213 clinicians in this Medicare group
NPI 1154959880 (218) 485-4481
Pine Medical Center
22 mi
Critical Access
705 LUNDORFF DRIVE SOUTH
Sandstone, MN 55072
  • Reassigned Medicare billing, Minnesota enrollment
  • 159 clinicians in this Medicare group
NPI 1326041633 (320) 245-2212
The Duluth Clinic Ltd
23 mi
Multi-Specialty
1413 HIGHWAY 33 S
Cloquet, MN 55720
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1902563638 (218) 337-4000
St. Mary's Hospital Of Superior
37 mi
Critical Access
3500 TOWER AVE
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Marys Hospital Of Superior
  • 381 clinicians in this Medicare group
NPI 1083657886 (715) 395-5400
Unity Family Healthcare
71 mi
Family Medicine
200 1ST AVE SE
Pierz, MN 56364
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1780630939 (Minnesota)
  • 205 clinicians in this Medicare group
NPI 1952530669 (320) 468-2536

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.

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55767 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

SAMANTHA MARIE JOHNSON DPT
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-5823
ALLYSAN L MICKLE OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
MS. APRIL M HANSEN OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
FAITH A. MANTY APRN, CNP
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
ESSENTIA HEALTH MOOSE LAKE
General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
DR. ANDREA KARIN KRATZKE NELSON MD
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2015
MS. ABBY MARIE SCHULTZ
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
JAMES ALAN MACH JR.
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481

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 1598768194. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is James Ryan located?

James Ryan practices at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-2105.

What is James Ryan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.

Which organizations bill Medicare for James Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ryan reassigns Medicare benefits to 5 organizations: Essentia Health Moose Lake (Moose Lake, MN), Pine Medical Center (Sandstone, MN), The Duluth Clinic Ltd (Cloquet, MN), St. Mary's Hospital Of Superior (Superior, WI) and Unity Family Healthcare (Pierz, MN). 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 James Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ryan accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan 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 Essentia Health Sandstone and Essentia Health Moose Lake.

When was this NPI record last updated?

The NPPES record for James Ryan was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.