Dr. Ryan Patterson , MD
Orthopaedic Surgery - Hand Surgery โข Tyler, TX
3414 Golden Rd
Tyler, TX 757018336
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Ryan Patterson is listed in NPPES under Orthopaedic Surgery - Hand Surgery.
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NPI assigned on December 27, 2007; this date does not establish years in practice.
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Published CMS data list 2,158 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1100 โ Injection, dexamethasone sodium phosphate, 1 mg: 624 service units.
- 99490 โ Chronic care management services: 279 service units.
- 99213 โ Established patient outpatient office visit: 182 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 23 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 406 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 148 prescription fills, including refills.
- Tramadol Hcl โ 86 prescription fills, including refills.
- Acetaminophen-Codeine (Acetaminophen With Codeine) โ 63 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: 1,281. Middle half: 550 to 2,466.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,883 in 2020 to 2,158 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3414 Golden Rd
Tyler, TX 757018336
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Longview, TX; Mount Pleasant, TX; Nacogdoches, TX and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ortholonestar Pllc. 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
Irvine California College Of Medicine
2005
What Public CMS Data Show
Orthopaedic Surgery - Hand Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
334 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $149,700 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $115,520 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
406 standardized 30-day fills in 2024
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
$3,129 in 2024
The total cost of these prescriptions in 2024, 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, 2024.
Open Payments general payments, program year 2025
All general payments: $327.14 across 9 records.
By nature of payment
- Food and Beverage: $180.46 across 8 records.
- Long term medical supply or device loan: $146.68 across 1 record.
Reporting-company totals (3 largest of 7)
- Integra LifeSciences Corporation: $146.68 across 1 record.
- Stryker Corporation: $76.24 across 3 records.
- PolyNovo North America LLC: $26.03 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 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
2007
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)
Dr. Patterson 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 Dr. Patterson 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 Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: 1,281. Middle half: 550 to 2,466.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Tyler have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: $88,337. Middle half: $35,239 to $139,780.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Tyler have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: $65,113. Middle half: $26,601 to $103,675.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Tyler have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: 170. Middle half: 86 to 350.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Tyler have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Texas (2024, 128 clinicians with data). Median for this group: $993. Middle half: $467 to $2,109.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Tyler have Medicare Part D data for 2024 to compare.
5 active clinicians are listed under Orthopaedic Surgery - Hand Surgery with a practice address in Tyler, TX (182 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 15% from 1,883 in 2020 to 2,158 in 2024.
- 2020: 1,883
- 2021: 2,375
- 2022: 1,873
- 2023: 2,178
- 2024: 2,158
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Medicare-allowed amount
Medicare-allowed amount increased 25% from $119,704 in 2020 to $149,700 in 2024.
- 2020: $119,704
- 2021: $142,982
- 2022: $117,163
- 2023: $124,605
- 2024: $149,700
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Paid by Medicare
Paid by Medicare increased 29% from $89,557 in 2020 to $115,520 in 2024.
- 2020: $89,557
- 2021: $107,094
- 2022: $87,973
- 2023: $93,219
- 2024: $115,520
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 40% from 289 in 2020 to 406 in 2024.
- 2020: 289
- 2021: 243
- 2022: 240
- 2023: 336
- 2024: 406
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30-day fills
30-day fills increased 38% from 293 in 2020 to 406 in 2024.
- 2020: 293
- 2021: 245
- 2022: 240
- 2023: 336
- 2024: 406
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Part D drug cost
Part D drug cost decreased 12% from $3,559 in 2020 to $3,129 in 2024.
- 2020: $3,559
- 2021: $1,933
- 2022: $2,176
- 2023: $2,844
- 2024: $3,129
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $211.56 in 2021 to $327.14 in 2025.
- 2021: $211.56
- 2022: $70.80
- 2023: $719.83
- 2024: $2,234.03
- 2025: $327.14
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), 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 $327.14.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Integra LifeSciences Corporation |
Long term medical supply or device loan
In-kind items and services
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MicroMatrix | General | $146.68 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ICONIX | General | $42.41 |
| PolyNovo North America LLC |
Food and Beverage
In-kind items and services
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NOVOSORB BTM | General | $26.03 |
| Pylant Medical |
Food and Beverage
In-kind items and services
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โ | General | $22.70 |
| AXOGEN |
Food and Beverage
In-kind items and services
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โ | General | $20.99 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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XBRAID | General | $19.53 |
| MIMEDX Group, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $18.04 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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EXOGEN ULTRASOUND BONE HEALING SYSTEM | General | $16.46 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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CROSSFIRE | General | $14.30 |
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 2016โ2023 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, 2017โ2024; 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 |
|---|---|---|---|---|
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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624 | 93 | $10.00 | $0.11 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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279 | 53 | $129.00 | $59.62 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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182 | 115 | $233.00 | $84.66 |
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73130
X-ray of hand, minimum of 3 views
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177 | 132 | $109.58 | $33.97 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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118 | 101 | $338.00 | $115.85 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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108 | 108 | $334.00 | $105.91 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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62 | 62 | $510.00 | $153.46 |
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73140
X-ray of finger, minimum of 2 views
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59 | 32 | $110.00 | $33.31 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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59 | 24 | $65.00 | $45.79 |
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73100
X-ray of wrist, 2 views
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55 | 25 | $100.96 | $31.76 |
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64721
Release and/or relocation of hand nerve
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48 | 43 | $1377.00 | $252.63 |
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73110
X-ray of wrist, minimum of 3 views
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48 | 41 | $122.50 | $38.73 |
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29075
Application of elbow to finger cast
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46 | 41 | $267.00 | $83.18 |
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Q4010
Cast supplies, short arm cast, adult (11 years +), fiberglass
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43 | 38 | $63.87 | $22.92 |
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20600
Aspiration and/or injection of fluid from small joint
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40 | 34 | $190.40 | $49.55 |
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20605
Aspiration and/or injection of fluid from medium joint
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39 | 30 | $172.00 | $51.05 |
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73120
X-ray of hand, 2 views
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31 | 19 | $94.00 | $28.81 |
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26055
Incision of tendon covering of finger
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30 | 22 | $1721.00 | $225.68 |
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20550
Injection into tendon or ligament
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29 | 29 | $172.00 | $52.26 |
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64718
Release and/or relocation of elbow nerve
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25 | 23 | $1882.00 | $443.62 |
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26480
Transfer of tendon to back of hand
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22 | 20 | $2410.00 | $369.64 |
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25447
Removal of bone joints between wrist and fingers
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21 | 19 | $2623.00 | $802.43 |
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25000
Incision or the tendon covering on the top side of the wrist
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13 | 12 | $1071.00 | $193.64 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 148 | 846 | $1,218.82 | 85 |
| Tramadol Hcl | Tramadol Hcl | 86 | 477 | $198.32 | 51 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 63 | 335 | $442.69 | 35 |
| Methylprednisolone | Methylprednisolone | 45 | 295 | $337.29 | 41 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 40 | 354 | $164.07 | 33 |
| Meloxicam | Meloxicam | 13 | 390 | $32.95 | โ |
| Celecoxib | Celecoxib | 11 | 330 | $735.33 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-04-07NUCC Taxonomy Code: 207XS0106X
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - HAND SURGERY
I20110803000129
TX
9133398456
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
Ortholonestar Pllc
3414 Golden Rd, Tyler, TX 757018336
Phone: 9039397500
Secondary Practice Locations
2701 Us Highway 271 N
Pittsburg, TX 756864289
Phone: 9039465442
4800 Ne Stallings Dr Ste 110
Nacogdoches, TX 759651250
Phone: 9039397500
725 N 4th St
Longview, TX 756015412
Phone: 9039397501
305 W 20th St
Mount Pleasant, TX 754552327
Phone: 9035775661
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Pain Medicine - Pain Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Orthopaedic Surgery (license number reported to NPPES: TX N8834)
Orthopaedic Surgery (license number reported to NPPES: TX N8834)
Surgery (license number reported to NPPES: TX N8834)
NPI status registered as active in NPPES database
Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)
Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)
Recorded as RYAN PATTERSON, M.D.
Orthopaedic Surgery (license number reported to NPPES: OH 57.010219)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery - Hand Surgery Specialists in Tyler
Healthcare providers in TylerMailing Address
3414 Golden Rd
Tyler, TX 757018336
Phone: 9039397500