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MR. MICHAEL J RYAN M.D
NPI 1700863511
Internal Medicine - Pulmonary Disease in San Luis Obispo, CA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1428 PHILLIPS LN STE 203, SAN LUIS OBISPO, CA 93401(805) 543-4407(805) 543-4587 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Dec 28, 2022, Feb 4, 2022 and 1 more (4 updates tracked since 2020).

About Mr. Michael J Ryan M.d NPPES

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

MR. MICHAEL J RYAN M.D (NPI 1700863511) is an individual pulmonary disease provider in San Luis Obispo, California, licensed in California (A86911) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1700863511
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. MICHAEL J RYANCredential: M.D
Location Address1428 PHILLIPS LN STE 203San Luis Obispo, CA 93401-2551
Mailing Address1428 Phillips Ln Ste 203San Luis Obispo, CA 93401-2551 · (805) 543-4407 · Fax (805) 543-4587
Phone(805) 543-4407
Fax(805) 543-4587
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 22, 2005
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1700863511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A86911
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A86911 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A86911 (CA)
1428 PHILLIPS LN STE 203, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Identifiers 17

Medicaid1700863511VA
OtherPARVA · Multiplan
Other-029VA · Tricare/champus
OtherPARVA · Va Premier Health
OtherPARVA · Va Health Network
Other7221858VA · Aetna
OtherPARVA · Usa Managed Care
OtherPARVA · First Health Commercial
Other2174181VA · Uhc/mamsi
MedicaidWA86911ACA
Medicaid5908329NC
Other6125139VA · Cigna
Other08329NC · Nc Bc/bs
Other10025471VA · Sentara/optima
Other342182VA · Anthem
Other7221858CA · Aetna Pin
OtherPARVA · Corvel/corecare

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

Mr. Michael 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 ID8325011364
PECOS Enrollment IDI20040817001070
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 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
213 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services90 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
139 services138 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
132 services132 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
131 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers16 claims64 services$18.27 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims454 services$35.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers38 claims38 services$34.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers31 claims31 services$82.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers32 claims94 services$33.63 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers13 claims78 services$15.13 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 5

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

JUSTIN N GRAMMY DO
Hospitalist
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4407
DR. GREGORY SCOTT CANFIELD M.D., PH.D.
Internal Medicine (Infectious Disease)
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4407
LAURA DAWN SLAUGHTER RN, FNP-C
Nurse Practitioner (Family)
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-1797
ELIZABETH ANN CARTOZIAN NP
Nurse Practitioner (Family)
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-1797
MR. ROSS G MICHEL M.D
Internal Medicine (Pulmonary Disease)
1428 PHILLIPS LN STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4407

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 Michael Ryan's NPI number?

The NPI number for Michael Ryan is 1700863511. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Ryan located?

Michael Ryan practices at 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4407.

What is Michael Ryan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Ryan enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Ryan was last updated on November 3, 2023. 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.