1. Home
  2. Directory
  3. Oregon
  4. Prineville
  5. Pediatrics
  6. NPI Profile

RYAN D KEARNEY MD
NPI 1700105046
Pediatrics in Prineville, OR

Active since May 26, 2010PECOS Enrolled
757 E 1ST ST, PRINEVILLE, OR 97754(541) 383-3005(541) 383-1883 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Dec 21, 2021, Jun 4, 2021 and 3 more (6 updates tracked since 2018).

About Ryan D Kearney Md NPPES

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

RYAN D KEARNEY MD (NPI 1700105046) is an individual pediatrics provider in Prineville, Oregon, licensed in Oregon (MD203745) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1700105046
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRYAN D KEARNEYCredential: MD
Location Address757 E 1ST STPrineville, OR 97754-2005
Mailing AddressPo Box 4228Portland, OR 97208-4228 · (541) 383-3005 · Fax (541) 383-1883
Phone(541) 383-3005
Fax(541) 383-1883
Sole ProprietorNo
Enumeration DateMay 26, 2010
Last NPPES UpdateSeptember 18, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1700105046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD203745
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
757 E 1ST ST, Prineville, OR 97754
Open in Google Maps ↗

Secondary Practice Location 1

Location 12084 NE Professional CtBend, OR 97701-6077 · Phone (541) 383-3005 · Fax (541) 383-1883

Other Identifiers 1

Medicaid500719609OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 (PECOS)

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

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

2

Medicare enrollment records show Ryan Kearney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mosaic Community Health
0.5 mi
Federally Qualified Health Center (FQHC)
375 NW BEAVER ST STE 101
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 102 clinicians in this Medicare group
NPI 1083633184 (541) 447-0707
Bend Memorial Clinic PC
27 mi
Family Medicine
1501 NE MEDICAL CENTER DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 317 clinicians in this Medicare group
NPI 1699827477 (541) 382-2811

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97754 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES

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

SIERRA HOPPER MSN
Counselor (Mental Health)
757 E 1ST ST
PRINEVILLE, OR 97754
Crook County (541) 383-3005

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 Ryan Kearney's NPI number?

The NPI number for Ryan Kearney is 1700105046. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Ryan Kearney located?

Ryan Kearney practices at 757 E 1st St, Prineville, OR 97754. The listed phone number is (541) 383-3005.

What is Ryan Kearney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ryan Kearney enrolled in Medicare?

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

Which organizations bill Medicare for Ryan Kearney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Kearney reassigns Medicare benefits to 2 organizations: Mosaic Community Health (Prineville, OR) and Bend Memorial Clinic PC (Bend, OR). 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 Ryan Kearney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Kearney accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Ryan Kearney 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 Ryan Kearney was last updated on September 18, 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.