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Dr. Ryan D Kearney , MD

Pediatrics β€’ Prineville, OR

Active NPI 1700105046 Individual Practitioner Male Practitioner
Practice location in NPPES

757 E 1st St
Prineville, OR 977542005

Call 5413833005 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

757 E 1st St

Prineville, OR 977542005

Telephone 5413833005
Fax 5413831883
Organization at the Same NPPES Address or Phone
Mosaic Community Health Facility NPI 1023523073

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bend, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kearney 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kearney 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Prineville and Oregon

1 active clinicians are listed under Pediatrics with a practice address in Prineville, OR (862 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR MD203745

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500719609 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210608003320

Enrollment State Jurisdiction

OR

PECOS Control ID

0345556833

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2084 Ne Professional Ct

Bend, OR 977016077

Phone: 5413833005

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Steven Alexander , DDS

Dentist - General Practice

NPI 1497897979

Doctor of Dental Surgery

Colleen Baird , APN

Nurse Practitioner - Family

NPI 1659062214

Advanced Practice Nurse

Keith Bell , PA

Physician Assistant

NPI 1104139369

Physician Assistant

NPI 1679874721

Doctor of Pharmacy (Pharm.D.)

NPI 1063023539

Doctor of Pharmacy (Pharm.D.)

Claire Biolatto , NP

Nurse Practitioner - Family

NPI 1386129294

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location September 18, 2024

Registered at 757 E 1ST ST, PRINEVILLE, OR 977542005 (Tel: 5413833005)

πŸ“
Updated Business Mailing Address September 18, 2024

Registered at PO BOX 4228, PORTLAND, OR 972084228 (Tel: 5413833005)

πŸ“
Updated Practice Location December 21, 2021

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5413824900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2021

Pediatrics (license number reported to NPPES: OR MD203745)

πŸ“
Updated Business Mailing Address June 04, 2021

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5413824900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Pediatrics (license number reported to NPPES: WA 60363627)

πŸ“
Updated Practice Location August 06, 2019

Registered at 193 LOCUST ST STE 2, NORTHAMPTON, MA 010602065 (Tel: 4135848700)

πŸ“
Updated Business Mailing Address August 06, 2019

Registered at 193 LOCUST ST STE 2, NORTHAMPTON, MA 010602065 (Tel: 4135865770)

πŸ‘€
Provider Name / Credentials Updated August 06, 2019

Recorded as RYAN KEARNEY, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Pediatrics (license number reported to NPPES: MA 278925)

πŸ“
Updated Practice Location August 15, 2018

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 98105 (Tel: 7742544464)

βœ…
NPI Profile Active July 23, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2013

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 981053900 (Tel: 7742544464)

πŸ“
Business Mailing Address (Initial Record) July 23, 2013

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 981053900 (Tel: 7742544464)

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2013

Recorded as RYAN KEARNEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2013

Pediatrics (license number reported to NPPES: WA 60363627)

🟒
Initial NPI Registration & Enumeration May 26, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1700105046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2010
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 4228

Portland, OR 972084228

Phone: 5413833005

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.