Debra L Ryan , ARNP
Nurse Practitioner โข Des Moines, IA
411 Laurel St Ste A250
Des Moines, IA 503143029
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on September 6, 2012; this date does not establish years in practice.
-
Published CMS data list 19 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Published rows only; this is not a quality measure.
-
Published Part B service records, 2019:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 108 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
-
Published Part D records, 2022:
- Metoprolol Succinate โ 28 prescription fills, including refills.
- Atorvastatin Calcium โ 27 prescription fills, including refills.
- Furosemide โ 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 18 in 2017 to 19 in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2019.
Practice Location & Contact Primary Location
411 Laurel St Ste A250
Des Moines, IA 503143029
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Catholic Health Initiatives-Iowa Corp. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Creighton University School Of Medicine
2012
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,111 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
Paid by Medicare
About $885 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
30-day fills
110 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,082 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $27.47 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Debra Ryan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Debra Ryan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Des Moines and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Debra Ryan are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Debra Ryan are from 2022.
146 active clinicians are listed under Nurse Practitioner with a practice address in Des Moines, IA (1,294 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Des Moines
13.7% of these 146 clinicians have the CMS telehealth indicator.
69.9% of these 146 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services went from 18 in 2017 to 19 in 2019.
- 2017: 18
- 2018: 30
- 2019: 19
-
Medicare-allowed amount
Medicare-allowed amount went from $616 in 2017 to $1,111 in 2019.
- 2017: $616
- 2018: $1,424
- 2019: $1,111
-
Paid by Medicare
Paid by Medicare went from $459 in 2017 to $885 in 2019.
- 2017: $459
- 2018: $1,107
- 2019: $885
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 70% from 361 in 2018 to 108 in 2022.
- 2018: 361
- 2019: 876
- 2020: 580
- 2021: 328
- 2022: 108
-
30-day fills
30-day fills decreased 80% from 554 in 2018 to 110 in 2022.
- 2018: 554
- 2019: 1,186
- 2020: 792
- 2021: 411
- 2022: 110
-
Part D drug cost
Part D drug cost decreased 96% from $25,648 in 2018 to $1,082 in 2022.
- 2018: $25,648
- 2019: $76,785
- 2020: $64,626
- 2021: $19,814
- 2022: $1,082
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $34.20 in 2021 to $27.47 in 2025.
- 2021: $34.20
- 2025: $27.47
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $27.47.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $27.47 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
19 | 19 | $123.00 | $58.48 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 28 | 484 | $450.46 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 27 | 394 | $246.07 | โ |
| Furosemide | Furosemide | 27 | 366 | $129.19 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 26 | 364 | $256.62 | โ |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-17NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20130111000431
IA
2365695855
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Catholic Health Initiatives-Iowa Corp
411 Laurel St, Des Moines, IA 503143029
Phone: 5152355000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)
Internal Medicine - Interventional Cardiology
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Nurse Practitioner
Advanced Registered Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner (Certified), Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 411 LAUREL ST STE A250, DES MOINES, IA 503143029 (Tel: 5152355000)
Registered at 5880 UNIVERSITY AVE STE 112, WEST DES MOINES, IA 502668209 (Tel: 5156333653)
Registered at 5880 UNIVERSITY AVE, WEST DES MOINES, IA 50266 (Tel: 5156333600)
Registered at PO BOX 9170, DES MOINES, IA 503069170 (Tel: 5156333600)
NPI status registered as active in NPPES database
Registered at 1111 6TH AVE, DES MOINES, IA 503142613 (Tel: 5152474240)
Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5152474240)
Recorded as DEBRA RYAN, ARNP
Nurse Practitioner (license number reported to NPPES: IA A-0712178)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Des Moines
- Andrea Bergdale, ARNP
- Sarah Pike, ARNP
- Noelle Mundt, NP
- Ashley Neuweg, ARNP
- Dr. Bridget Campbell, DNP
- Angela Beckel, ARNP
Mailing Address
Po Box 9170
Des Moines, IA 503069170
Phone: 5156333600