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MR. TIMOTHY PATRICK RYAN JR.
NPI 1821389842
Otolaryngology in Atlanta, GA

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1365A CLIFTON RD NE, SUITE 2300, ATLANTA, GA 30322(404) 778-3381 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Timothy Patrick Ryan Jr. NPPES

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

MR. TIMOTHY PATRICK RYAN JR. (NPI 1821389842) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Georgia (004885) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Eastern Virginia Medical School (2011).

NPPES Registry Identity

NPI1821389842
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. TIMOTHY PATRICK RYAN JR.
Location Address1365A CLIFTON RD NE, SUITE 2300Atlanta, GA 30322-1013
Mailing Address2089 Dunwoody St NeAtlanta, GA 30317-1242 · (703) 470-7673
Phone(404) 778-3381
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2011
Enumeration DateApril 25, 2011
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1821389842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 004885
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1365A CLIFTON RD NE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Mr. Timothy Patrick Ryan Jr. 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 ID3375846264
PECOS Enrollment IDI20161005001842
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 Reassignment

Medicare enrollment records show Timothy Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
9.9 mi
Family Medicine
2850 PACES FERRY RD SE
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1710319462 (678) 556-4950

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

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.

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.
190 services146 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.
95 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
52 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

JOHN SWEENEY MD
Surgery
1365A CLIFTON RD NE, SUITE 3300
ATLANTA, GA 30322
Dekalb County (404) 778-3712
LOIS WILDER PA-C
Physician Assistant (Medical)
1365A CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3956
DR. GEORGE ALLEN MAYHALL MD
Radiology (Diagnostic Radiology)
1365A CLIFTON RD NE, SUITE AT-627
ATLANTA, GA 30322
Dekalb County (404) 778-3800
DR. DELIANE BELONI-BUSSEY AU.D.
Audiologist
1365A CLIFTON RD NE, SUITE 2300
ATLANTA, GA 30322
Dekalb County (404) 778-3387
JOHN DELGAUDIO M.D.
Otolaryngology (Otolaryngic Allergy)
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-8331
DR. NORMAN WENDELL TODD JR. M.D., M.P.H.
Otolaryngology (Pediatric Otolaryngology)
1365A CLIFTON RD NE, EMORY UNIVERSITY, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-1368
DR. TAREK MOHAMED KANDEEL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1365A CLIFTON RD NE, CARDIOTHORACIC SURGERY DEPARTMENT
ATLANTA, GA 30322
Dekalb County (404) 287-4346
WILLIAM GRIST
Otolaryngology
1365A CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3381

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 Timothy Ryan's NPI number?

The NPI number for Timothy Ryan is 1821389842. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Timothy Ryan located?

Timothy Ryan practices at 1365A Clifton Rd NE Suite 2300, Atlanta, GA 30322. The listed phone number is (404) 778-3381.

What is Timothy Ryan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Timothy Ryan enrolled in Medicare?

Yes. Timothy 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 organization bills Medicare for Timothy Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Ryan reassigns Medicare benefits to Wellstar Medical Group, LLC (Atlanta, GA). The 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 Timothy Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Ryan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Timothy 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 Timothy Ryan affiliated with any hospitals?

According to CMS data, Timothy Ryan is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Ryan was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.